Provider Demographics
NPI:1336301159
Name:WOLFE, ASHBY J (MD, MPP, MPH)
Entity Type:Individual
Prefix:DR
First Name:ASHBY
Middle Name:J
Last Name:WOLFE
Suffix:
Gender:F
Credentials:MD, MPP, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 7TH ST STE 5-300
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-6706
Mailing Address - Country:US
Mailing Address - Phone:154-744-3501
Mailing Address - Fax:
Practice Address - Street 1:1515 FRUITVALE AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-2322
Practice Address - Country:US
Practice Address - Phone:510-535-6300
Practice Address - Fax:510-535-4019
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA109831207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine