Individual
ASHLEY MAX WACHSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8700 BEVERLY BLVD, ROOM M 335, LOS ANGELES, CA 90048
(310) 423-6500
(310) 423-5654
Mailing address
1525 RANCHO CONEJO BLVD, SUITE 201, THOUSAND OAKS, CA 91320-1441
(805) 375-8800
(805) 375-8900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G81644
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G816440
—
CA
01
—
RHL140281
DEPT OF HEALTH SERVICES
CA
Enumeration date
03/13/2007
Last updated
03/07/2023
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