Provider Demographics
NPI:1184289738
Name:MURRY, ASHLEY JORDAN (DC)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:JORDAN
Last Name:MURRY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 S MAIN ST APT 1619
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-4585
Mailing Address - Country:US
Mailing Address - Phone:213-238-8854
Mailing Address - Fax:
Practice Address - Street 1:4835 VAN NUYS BLVD STE 105
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-2132
Practice Address - Country:US
Practice Address - Phone:818-786-5985
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34522111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor