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NPI Code Detail

MEDICARE: MISS ASHLEY KO

MEDICARE:  MISS ASHLEY  KO
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
1237700000XHearing Instrument SpecialistHT 8609CA

General Provider Information

NPI Number : 1396071726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ASHLEY KO
Provider Business Mailing Address
First Line : 1020 E BASTANCHURY RD
Second Line :
City : FULLERTON
State : CA
Zip : 92835-2782
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1020 E BASTANCHURY RD
Second Line :
City : FULLERTON
State : CA
Zip : 92835-2782
Country : US
Telephone Number : 626-966-6780
Fax Number : 626-966-3780
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2009
Last Update Date : 10/20/2009

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Directions to “ MISS ASHLEY KO ” Practice Location

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