Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath |
NPI | 1144893991 |
---|---|
Provider Name | Dr. Hayleigh Kathleen Ast |
First Address | Irvine, CA 92618-1713 |
Second Address | Costa Mesa, CA 92626-8605 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2021 |
Last Update Date | 20/07/2021 |