Provider Demographics
NPI:1699483081
Name:OH, GLORIA ASHLEY (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:ASHLEY
Last Name:OH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15910 JOSEPH CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CASCADES
Mailing Address - State:CA
Mailing Address - Zip Code:91342-1123
Mailing Address - Country:US
Mailing Address - Phone:818-388-7754
Mailing Address - Fax:
Practice Address - Street 1:27016 JACKSON CT
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91381-0802
Practice Address - Country:US
Practice Address - Phone:818-388-7754
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-14
Last Update Date:2024-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95173000163WC0200X
CA95023776363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine