Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PT297983 | CA |
NPI | 1043843501 |
---|---|
Provider Name | Dr. Ashlee Michelle Munoz |
First Address | Lake Elsinore, CA 92530-7317 |
Second Address | Menifee, CA 92586-6521 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2020 |
Last Update Date | 12/02/2020 |