Provider Demographics
NPI:1528733185
Name:ASHEH & DAUGHETY MEDICAL CORPORATION
Entity type:Organization
Organization Name:ASHEH & DAUGHETY MEDICAL CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:DAUGHETY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:619-929-4343
Mailing Address - Street 1:12842 STONE CANYON RD
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2037
Mailing Address - Country:US
Mailing Address - Phone:619-929-4343
Mailing Address - Fax:
Practice Address - Street 1:16766 BERNARDO CENTER DR STE 206
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2502
Practice Address - Country:US
Practice Address - Phone:858-848-5249
Practice Address - Fax:451-728-9751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-14
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No2083A0300XAllopathic & Osteopathic PhysiciansPreventive MedicineAddiction MedicineGroup - Multi-Specialty
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty