Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | C40034 | CA |
NPI | 1245201516 |
---|---|
Provider Name | Ellyn Ashida |
First Address | Torrance, CA 90503-4504 |
Second Address | Torrance, CA 90503-4504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 21/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00C400340 | (05) | CA |
A37281 | (02) | CA |