Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175L00000X | Homeopath | A133143 | CA |
NPI | 1851689350 |
---|---|
Provider Name | Ashley Salomon |
First Address | Los Angeles, CA 90064-3801 |
Second Address | Los Angeles, CA 90064-3801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2011 |
Last Update Date | 09/08/2016 |