Individual
MS. ASHIMA GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 S ANAHEIM BLVD, ANAHEIM, CA 92805-5811
(714) 937-1919
Mailing address
1101 S ANAHEIM BLVD, ANAHEIM, CA 92805-5811
(714) 488-3999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
10/05/2023
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