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Individual

ASHLEY T VAN BELLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MMS, PA-C

Contact information

Practice address
1400 S GRAND AVE STE 707, LOS ANGELES, CA 90015-2881
(310) 929-6336
Mailing address
1400 S GRAND AVE STE 707, LOS ANGELES, CA 90015-2881

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
CA
363AS0400X
Surgical Physician Assistant
CA

Other

Enumeration date
08/10/2023
Last updated
03/26/2026
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