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General NPI Number Information
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NPI Number | 1952032690
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Entity Type | Individual
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Provider Name | ASHLEY-MAY DIMAANO MASA DPM
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Gender | Female
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Dates
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Enumeration Date | 06/23/2022
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 276 CHURCH AVE STE A
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City | CHULA VISTA
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State | CA
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Zip | 91910-2729
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Country | US
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Telephone | 619-427-0311
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 34869
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City | BELFAST
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State | ME
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Zip | 04915-0626
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Country | US
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Telephone | 858-450-9218
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E6122
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | E6122
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License Number State | CA
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