Sheenie Ambardar, M.D.

Individual provider Active NPI Psychiatry Physician · Reseda, CA

NPI 1033384458 · NPPES record last updated Sep 16, 2008

Key facts

NPI
1033384458
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
A 105369 (CA)
Practice address
18040 Sherman Way
Kaiser Permanente Sherman Terrace Medical Offices
Reseda, CA 91335-4631
Phone
(818) 758-1200
NPI assigned
Apr 26, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A 105369CAMDPsychiatry Physician
248089-1NYMDPsychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A 105369 CA Yes
Psychiatry Physician 2084P0800X 248089-1 NY

Addresses

Primary practice location

18040 Sherman Way
Kaiser Permanente Sherman Terrace Medical Offices
Reseda, CA 91335-4631

Mailing address

18040 Sherman Way
Kaiser Permanente Sherman Terrace Medical Offices
Reseda, CA 91335-4631
Phone (818) 758-1200

Other providers in Reseda, CA

All providers in Reseda, CA · Psychiatry Physician in California

Sources for this page

Verify at the official NPI Registry.