Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 20A14115 | CA |
N | 208000000X | Pediatrician | H74880 | MD |
Y | 2080P0204X | Pediatric Emergency Doctor | 20A14115 | CA |
NPI | 1073740205 |
---|---|
Provider Name | Dr. Ashley Metcalf |
First Address | San Diego, CA 92123-4223 |
Second Address | San Diego, CA 92123-4223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2009 |
Last Update Date | 25/06/2015 |