Ashley Marie Chwastyk, | |
1301 20th St Ste 300, Santa Monica, CA 90404-2087 | |
(310) 453-6100 | |
Not Available |
Full Name | Ashley Marie Chwastyk |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 1301 20th St Ste 300, Santa Monica, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013441583 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 3219 (California) | Primary |
Provider Name | Pacific Hearing Clinic Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073652673 PECOS PAC ID: 0547356081 Enrollment ID: O20071016000131 |
Mailing Address | Practice Location Address |
---|---|
Ashley Marie Chwastyk, 1301 20th St Ste 300, Santa Monica, CA 90404-2087 Ph: (310) 453-6100 | Ashley Marie Chwastyk, 1301 20th St Ste 300, Santa Monica, CA 90404-2087 Ph: (310) 453-6100 |
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