Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A100807 | CA |
N | 207T00000X | Neurosurgeon | MD448477 | PA |
NPI | 1114107844 |
---|---|
Provider Name | Dr. Ashley G Tian |
First Address | Madera, CA 93636-8761 |
Second Address | Madera, CA 93636-8761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2007 |
Last Update Date | 28/07/2014 |