Individual
DR. ASHLEY R BATEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
23815 STUART RANCH RD STE 300, MALIBU, CA 90265-4861
(310) 456-1668
(310) 456-8838
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A120827
CA
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
A120827
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275769887
—
CA
Enumeration date
06/10/2009
Last updated
01/06/2020
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