Healthcare Provider Details

I. General information

NPI: 1477474195
Provider Name (Legal Business Name): ASHLEY ROH NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 DISCOVERY
IRVINE CA
92618-3105
US

IV. Provider business mailing address

68 DISCOVERY
IRVINE CA
92618-3105
US

V. Phone/Fax

Practice location:
  • Phone: 714-873-5481
  • Fax:
Mailing address:
  • Phone: 714-873-5481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95029343
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: