Individual
ASHLEY JUNEPAULINE SALAZAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
18111 BROOKHURST STREET, SUITE 5600, FOUNTAIN VALLEY, CA 92708-6728
(714) 861-4666
(714) 861-4682
Mailing address
18111 BROOKHURST ST, SUITE 5600, FOUNTAIN VALLEY, CA 92708-6728
(714) 861-4666
(714) 861-4682
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA16621
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G471930
—
CA
Enumeration date
04/14/2006
Last updated
07/19/2011
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