Provider Demographics
NPI:1932501137
Name:METZGER, ASHLEY LEE (PA-C)
Entity Type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:LEE
Last Name:METZGER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3828 SCHAUFELE AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-1793
Mailing Address - Country:US
Mailing Address - Phone:562-997-1144
Mailing Address - Fax:562-989-3612
Practice Address - Street 1:3828 SCHAUFELE AVE STE 300
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-1793
Practice Address - Country:US
Practice Address - Phone:562-997-1144
Practice Address - Fax:562-989-3612
Is Sole Proprietor?:No
Enumeration Date:2014-09-18
Last Update Date:2018-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD390200000X
MDC0005566363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program