Individual
ASHLEY MARIE MIDLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7985
(949) 722-7038
Mailing address
458 ORION WAY, NEWPORT BEACH, CA 92663-3633
(949) 609-9082
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
PA6444
CA
363A00000X
Physician Assistant
Primary
60444
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/02/2021
Last updated
07/29/2024
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