Individual
ASHLEY SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8700 BEVERLY BLVD STE 4221, WEST HOLLYWOOD, CA 90048-1804
(310) 423-4467
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A179799
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2019
Last updated
11/21/2022
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