Individual
ASHLEY LYNN MODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 550, LOS ANGELES, CA 90095-8344
(310) 206-6699
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95009555
CA
Other
Enumeration date
12/04/2018
Last updated
10/16/2020
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