Provider Demographics
NPI:1053985176
Name:HANSON, ASHLEY THUY (PA-C)
Entity type:Individual
Prefix:MISS
First Name:ASHLEY
Middle Name:THUY
Last Name:HANSON
Suffix:
Gender:F
Credentials:PA-C
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2880 ATLANTIC AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-1739
Mailing Address - Country:US
Mailing Address - Phone:714-725-2363
Mailing Address - Fax:
Practice Address - Street 1:2880 ATLANTIC AVE STE 110
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1739
Practice Address - Country:US
Practice Address - Phone:562-424-4404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-13
Last Update Date:2022-10-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant