Provider Demographics
NPI:1881104727
Name:ASAY, RONDA LEIGH (LM,CPM)
Entity type:Individual
Prefix:MS
First Name:RONDA
Middle Name:LEIGH
Last Name:ASAY
Suffix:
Gender:F
Credentials:LM,CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 VALLEY FORGE DR
Mailing Address - Street 2:
Mailing Address - City:PLACENTIA
Mailing Address - State:CA
Mailing Address - Zip Code:92870-5032
Mailing Address - Country:US
Mailing Address - Phone:714-380-8569
Mailing Address - Fax:
Practice Address - Street 1:618 VALLEY FORGE DR
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-9287
Practice Address - Country:US
Practice Address - Phone:714-380-8569
Practice Address - Fax:714-380-8569
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALM506176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty