Individual
GHADA OTHMAN AL-ASADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 W ROUTE 66, STE 202, GLENDORA, CA 91740-4335
(626) 963-4467
(626) 963-9543
Mailing address
415 W ROUTE 66, STE 202, GLENDORA, CA 91740-4335
(626) 963-4467
(626) 963-9543
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C50587
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1991660
—
LA
01
—
G3431
BCBS
LA
Enumeration date
08/30/2006
Last updated
11/30/2022
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