Provider Demographics
NPI:1487998555
Name:ASAO, DUANE (PHARMD)
Entity type:Individual
Prefix:
First Name:DUANE
Middle Name:
Last Name:ASAO
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 W 7TH ST
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90017-2577
Mailing Address - Country:US
Mailing Address - Phone:213-694-1250
Mailing Address - Fax:213-623-8978
Practice Address - Street 1:1055 W 7TH ST
Practice Address - Street 2:9TH FLOOR
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-2577
Practice Address - Country:US
Practice Address - Phone:213-694-1250
Practice Address - Fax:213-623-4305
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH38437183500000X
NV08591183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist