Healthcare Provider Details

I. General information

NPI: 1780988964
Provider Name (Legal Business Name): ASHLEY TRIMBLE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2011
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1092 NEW YORK DR
ALTADENA CA
91001-3118
US

IV. Provider business mailing address

14818 S FRAILEY AVE
COMPTON CA
90221-3120
US

V. Phone/Fax

Practice location:
  • Phone: 626-421-6031
  • Fax:
Mailing address:
  • Phone: 424-219-2625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: