Provider Demographics
NPI:1699207704
Name:CHRISTIAN, ASHTON (MD)
Entity type:Individual
Prefix:
First Name:ASHTON
Middle Name:
Last Name:CHRISTIAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:27799 MEDICAL CENTER RD STE 440
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-6400
Mailing Address - Country:US
Mailing Address - Phone:949-364-1007
Mailing Address - Fax:949-364-0317
Practice Address - Street 1:27799 MEDICAL CENTER RD STE 440
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92691-6400
Practice Address - Country:US
Practice Address - Phone:493-641-0079
Practice Address - Fax:949-364-0317
Is Sole Proprietor?:No
Enumeration Date:2017-03-29
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
390200000X
CAA157097208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program