Healthcare Provider Details

I. General information

NPI: 1346461753
Provider Name (Legal Business Name): ASHLEY ALFRED WOOL-SMITH D.C., L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28245 AVENUE CROCKER STE 104
VALENCIA CA
91355-1201
US

IV. Provider business mailing address

PO BOX 571747
TARZANA CA
91357-1747
US

V. Phone/Fax

Practice location:
  • Phone: 833-993-3900
  • Fax: 888-551-5126
Mailing address:
  • Phone: 310-553-5203
  • Fax: 888-551-5126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC9192
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC28873
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: