Richmond, Ashley Rae
Richmond, Ashley Rae is an sole proprietor health care provider with primary practice located at 2001 Harbor Blvd Suite 220, Costa Mesa CA 92627. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Richmond, Ashley Rae can be contacted via phone (310) 993-3214.Contact Information
Primary practice address
2001 Harbor Blvd Suite 220
Costa Mesa CA 92627
Phone: (310) 993-3214
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LCI04750716 | California |
Profile Details
| NPI number | 1821331497 |
|---|---|
| LBN Legal business name | Richmond, Ashley Rae |
| Credentials | LAADC CA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 2nd, 2013 |
| Last updated | Aug 8th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821331497 | NPPES |
| California | Other | LCI04750716 | CCAPP |
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