Individual
ASHLEY LUU TULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2568 CLARENDON AVE, HUNTINGTON PARK, CA 90255-4073
(323) 582-5444
Mailing address
2568 CLARENDON AVE, HUNTINGTON PARK, CA 90255-4073
(323) 582-5444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA64157
CA
363AM0700X
Medical Physician Assistant
Primary
PA64157
CA
Other
Enumeration date
02/07/2024
Last updated
03/19/2025
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