IndividualActive
Ashley Fan
NPI 1508513854 · Pharmacotherapy Pharmacist · Los Angeles, CA
Provider details
- NPI number
- 1508513854
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 82072 (CA)
Mailing address
12222 Wilshire Blvd Ph 12
Los Angeles, CA 90025-1175
Registry dates
- Enumerated
- 2022-03-07
- Last updated
- 2022-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.