Provider Demographics
NPI:1417920919
Name:ASHLEY, EDWIN MERIDITH (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWIN
Middle Name:MERIDITH
Last Name:ASHLEY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:8641 WILSHIRE BLVD
Mailing Address - Street 2:205
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2900
Mailing Address - Country:US
Mailing Address - Phone:310-657-2202
Mailing Address - Fax:310-657-8871
Practice Address - Street 1:8641 WILSHIRE BLVD
Practice Address - Street 2:205
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2900
Practice Address - Country:US
Practice Address - Phone:310-657-2202
Practice Address - Fax:310-657-8871
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG60846207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery