Individual
ASHLEY ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18460 ROSCOE BLVD, NORTHRIDGE, CA 91325-4107
(818) 993-4054
Mailing address
18460 ROSCOE BLVD, NORTHRIDGE, CA 91325-4107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A22371
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2021
Last updated
11/26/2024
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