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Ashley Lynn Vongpradith

Case Manager/Care Coordinator in Culver City, CA. Individual provider (NPI-1).

NPI number1801516331
StatusActive
Last updated in NPPESSep 2, 2022

Details

NPI
1801516331
Entity type
Individual (NPI-1)
Name
Ashley Lynn Vongpradith
Sex
Female
Sole proprietor
No
Enumeration date
Sep 2, 2022
Certification date
Sep 2, 2022
Last updated
Sep 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Phone 310-390-6612 · Fax 310-398-5690

Mailing address

1540 E Colorado St
Glendale, CA 91205-1514

Phone 818-244-7257

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