Individual
MR. ASA A MAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2929 HEALTH CENTER DR, SAN DIEGO, CA 92123-2762
(858) 499-2600
Mailing address
2929 HEALTH CENTER DR, SAN DIEGO, CA 92123-2762
(858) 499-2600
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
10551
NC
363A00000X
Physician Assistant
Primary
0010-10896
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010-10896
NC MEDICAL BOARD (PHYSICIAN ASSISTANT)
NC
01
—
10551
NC BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGISTS AND AUDIOLOGISTS
NC
01
—
1178581
NCCPA
—
01
—
14047069
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
—
01
—
PA67924
CA PA BOARD
CA
Enumeration date
08/23/2020
Last updated
05/16/2026
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