Individual
ASHLEY NIEVES GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26585 AGOURA RD STE 360, CALABASAS, CA 91302-1958
(818) 592-2320
(818) 880-8014
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A162709
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
294167
NY STATE LICENSE
NY
01
—
A162079
CA STATE LICENSE
CA
Enumeration date
04/17/2014
Last updated
03/02/2020
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