Provider Demographics
NPI:1295050102
Name:WINTER, ASHLEY (MD)
Entity type:Individual
Prefix:DR
First Name:ASHLEY
Middle Name:
Last Name:WINTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3557 FAIRESTA ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91214-1855
Mailing Address - Country:US
Mailing Address - Phone:201-739-2712
Mailing Address - Fax:
Practice Address - Street 1:960 E GREEN ST STE 262
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2401
Practice Address - Country:US
Practice Address - Phone:202-888-6731
Practice Address - Fax:202-851-5739
Is Sole Proprietor?:No
Enumeration Date:2010-04-02
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD183168208800000X
WAMD60758910208800000X
CAA140875208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology