Healthcare Provider Details

I. General information

NPI: 1225560527
Provider Name (Legal Business Name): ASHLEY STONE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2017
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 GILMAN DR
LA JOLLA CA
92093-5004
US

IV. Provider business mailing address

9500 GILMAN DR
LA JOLLA CA
92093-5004
US

V. Phone/Fax

Practice location:
  • Phone: 858-534-4040
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA157052
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: