# ELIZABETH ASHLEY BLACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043697113
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | A151555 | CA | — |
| 2080B0002X | Pediatric Obesity Medicine Physician | A151555 | CA | — |
| 2080P0210X | Pediatric Nephrology Physician | 2971396 | ID | Yes |
| 2080P0210X | Pediatric Nephrology Physician | A151555 | CA | — |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | NULL | — |

## Other

- **Enumeration date:** 04/28/2015
- **Last updated:** 06/03/2026