Provider Demographics
NPI:1558349316
Name:HUTCHINSON, MARIA ASHTON (DO)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ASHTON
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16960 BASTANCHURY ROAD
Mailing Address - Street 2:SUITE H
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886
Mailing Address - Country:US
Mailing Address - Phone:714-996-0700
Mailing Address - Fax:714-996-5300
Practice Address - Street 1:16960 BASTANCHURY ROAD
Practice Address - Street 2:SUITE H
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92886
Practice Address - Country:US
Practice Address - Phone:714-996-0700
Practice Address - Fax:714-996-5300
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A6897207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
H10001Medicare UPIN
W20A6897DMedicare ID - Type Unspecified
W15889Medicare ID - Type Unspecified