MEDICARE: ASHLEY TRIMBLE

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	101Y00000X	Counselor
2	363AM0700X	Medical Physician Assistant

General Provider Information

NPI Number	:	1780988964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY TRIMBLE

Provider Business Mailing Address
First Line	:	14818 S FRAILEY AVE
Second Line	:
City	:	COMPTON
State	:	CA
Zip	:	90221-3120
Country	:	US
Telephone Number	:	424-219-2625
Fax Number	:

Provider Business Practice Location Address
First Line	:	1092 NEW YORK DR
Second Line	:
City	:	ALTADENA
State	:	CA
Zip	:	91001-3118
Country	:	US
Telephone Number	:	626-421-6031
Fax Number	:

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

Provider Enumeration Date	:	01/03/2011
Last Update Date	:	09/09/2025

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Directions to “ ASHLEY TRIMBLE ” Practice Location

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