MEDICARE: ADELA ASHRAF PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA15375	CA

General Provider Information

NPI Number	:	1356385215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADELA ASHRAF PA-C

Provider Business Mailing Address
First Line	:	5 JOURNEY 210
Second Line	:
City	:	ALISO VIEJO
State	:	CA
Zip	:	92656-5332
Country	:	US
Telephone Number	:	949-305-7122
Fax Number	:	949-305-7160

Provider Business Practice Location Address
First Line	:	18102 IRVINE BLVD STE 208
Second Line	:
City	:	TUSTIN
State	:	CA
Zip	:	92780-3424
Country	:	US
Telephone Number	:	714-371-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	10/01/2015

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