Healthcare Provider Details

I. General information

NPI: 1922673581
Provider Name (Legal Business Name): ASHLEY ROSE KASPAROFF WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2021
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 E SLAUSON AVE
HUNTINGTON PARK CA
90255-2725
US

IV. Provider business mailing address

1970 N BRANDON CIR
ANAHEIM CA
92807-1119
US

V. Phone/Fax

Practice location:
  • Phone: 888-499-9303
  • Fax:
Mailing address:
  • Phone: 562-201-9530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95037787
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: