Individual
DEREK ASIMUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
797 S FAIR OAKS AVE, PASADENA, CA 91105-2617
(626) 797-2244
Mailing address
616 W ROSES RD, SAN GABRIEL, CA 91775-2231
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
53155
CA
Other
Enumeration date
01/24/2016
Last updated
06/20/2023
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