Healthcare Provider Details

I. General information

NPI: 1457296691
Provider Name (Legal Business Name): ASHLEY RICHARDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2026
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 S ASSOCIATED RD # 106
BREA CA
92821-5802
US

IV. Provider business mailing address

417 S ASSOCIATED RD # 106
BREA CA
92821-5802
US

V. Phone/Fax

Practice location:
  • Phone: 909-631-6938
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95035187
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: