Provider Demographics
NPI:1598513038
Name:ASOA, FRANK
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:
Last Name:ASOA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:363 S WILLIE JAMES JONES AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92113-2053
Mailing Address - Country:US
Mailing Address - Phone:619-830-9765
Mailing Address - Fax:
Practice Address - Street 1:363 S WILLIE JAMES JONES AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92113-2053
Practice Address - Country:US
Practice Address - Phone:619-831-5793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-09
Last Update Date:2024-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172A00000XOther Service ProvidersDriver