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Individual

DR. ASHLEY E. MIRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1211 W LA PALMA AVE, #207, ANAHEIM, CA 92801-2815
(714) 772-8282
(714) 772-6493
Mailing address
2040 S SANTA CRUZ ST, SUITE 215, ANAHEIM, CA 92805-6821
(714) 577-2124
(714) 577-2125

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A88444
CA
208M00000X
Hospitalist Physician
Primary
A88444
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A884440
CA
01
P00387158
MEDICARE RR
CA
Enumeration date
09/23/2006
Last updated
04/12/2017
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