Healthcare Provider Details

I. General information

NPI: 1730575507
Provider Name (Legal Business Name): ASHLEY WEBER ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 04/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1122 W BURBANK BLVD
BURBANK CA
91506-1414
US

IV. Provider business mailing address

145 VALLEY ST APT 3077
PASADENA CA
91105-4536
US

V. Phone/Fax

Practice location:
  • Phone: 213-304-7066
  • Fax:
Mailing address:
  • Phone: 213-304-7066
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number712
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: