Healthcare Provider Details

I. General information

NPI: 1730019597
Provider Name (Legal Business Name): ASHLIE LYNN STANDLEE PPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83600 TRONA RD
TRONA CA
93562-2101
US

IV. Provider business mailing address

625 S SUNSET ST
RIDGECREST CA
93555-4936
US

V. Phone/Fax

Practice location:
  • Phone: 760-372-2868
  • Fax:
Mailing address:
  • Phone: 559-679-2607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number260071622
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: