MEDICARE: EDWIN M. ASHLEY INC.

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	207X00000X	Orthopaedic Surgery Physician	G60846	CA

General Provider Information

NPI Number	:	1750547691
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EDWIN M. ASHLEY INC.

Provider Business Mailing Address
First Line	:	1127 WILSHIRE BLVD STE 1514
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-4006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1127 WILSHIRE BLVD STE 1514
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-4006
Country	:	US
Telephone Number	:	213-742-9704
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EDWIN ASHLEY
Credential	:	M.D.
Telephone Number	:	213-742-9704

Provider Enumeration Date	:	07/30/2008
Last Update Date	:	07/30/2008

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