Individual
ASHLEY DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPH
Contact information
Practice address
5400 W ROSECRANS AVE STE 100, HAWTHORNE, CA 90250-6686
(310) 643-8500
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004862
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400291476
IL MEDICARE PTAN FRANCISCAN PHYSICIAN NETWORK
IL
Enumeration date
05/02/2014
Last updated
12/10/2025
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