Ashkenaze, Mary K.

Ashkenaze, Mary K. is an individual health care provider with primary practice located at 31872 Coast Hwy , Laguna Beach CA 92651-6773. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Ashkenaze, Mary K. can be contacted via phone (949) 499-1311.

Contact Information

Primary practice address
31872 Coast Hwy Laguna Beach CA 92651-6773
Phone: (949) 499-1311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G72911 California

Profile Details

NPI number 1912011453
LBN Legal business name Ashkenaze, Mary K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Nov 6th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912011453 NPPES
California MEDICAID 00G729110

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