Doctor Name: | ASHLEY JUNEPAULINE SALAZAR |
NPI Number: | 1003870114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.A.-C |
License Number: | PA16621 |
Business Practice Address: | 18111 Brookhurst Street Suite 5600 Fountain Valley, CA - 927086728 |
Business Phone Number: | 7148614666 |
Business Fax Number: | 7148614682 |
Mailing Address: | 18111 Brookhurst St, Suite 5600 FOUNTAIN VALLEY |
State: | CA |
Postal Code: | 927086728 |
Phone Number: | 7148614666 |
Fax Number: | 7148614682 |
NPI Enumeration Date: | 04/14/2006 |
NPI Last Update Date: | 07/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA16621 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |