Organization
CA PHYSICIAN ASSISTANT COOPERATIVE HEALTHCARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ASHBY PA (PRESIDENT/OWNER)
(818) 968-4242
Entity
Organization
Contact information
Practice address
645 AERICK ST STE 3, INGLEWOOD, CA 90301-4884
(310) 431-4926
Mailing address
645 AERICK ST STE 3, INGLEWOOD, CA 90301-4884
(310) 431-4926
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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