Individual
ELENA ASANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12157 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3204
(818) 755-8000
(818) 755-8006
Mailing address
12157 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-3204
(818) 755-8000
(818) 755-8006
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA19458
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC71013F
—
CA
Enumeration date
12/27/2007
Last updated
12/27/2007
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