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NPI Code Detail

MEDICARE: MRS. AYESHA OGLE NP

MEDICARE: MRS. AYESHA OGLE NP
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
1163WR0006XRegistered Nurse First Assistant650644CA
2363LA2200XAdult Health Nurse PractitionerNP95006530CA

General Provider Information

NPI Number : 1578706404
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. AYESHA OGLE NP
Provider Business Mailing Address
First Line : 2318 W AVENUE P12
Second Line :
City : PALMDALE
State : CA
Zip : 93551-6021
Country : US
Telephone Number : 310-430-0190
Fax Number : 661-526-4854
Provider Business Practice Location Address
First Line : 43322 GINGHAM AVE
Second Line :
City : LANCASTER
State : CA
Zip : 93535-4576
Country : US
Telephone Number : 661-874-4050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2009
Last Update Date : 10/02/2024

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