MEDICARE: ASHLYN SAKONA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207RI0200X	Infectious Disease Physician	A148136	CA

General Provider Information

NPI Number	:	1053739961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLYN SAKONA

Provider Business Mailing Address
First Line	:	5767 W CENTURY BLVD STE 400
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-5631
Country	:	US
Telephone Number	:	310-301-8732
Fax Number	:	310-301-8751

Provider Business Practice Location Address
First Line	:	200 UCLA MEDICAL PLZ STE 365-C
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-2536
Country	:	US
Telephone Number	:	310-206-7663
Fax Number	:	310-267-2571

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2014
Last Update Date	:	06/04/2020

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Directions to “ ASHLYN SAKONA ” Practice Location

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