Andrew V. Ambrose III

Individual provider Active NPI Rehabilitation Practitioner · Commerce, CA

NPI 1689828477 · NPPES record last updated Nov 12, 2008

Key facts

NPI
1689828477
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Practitioner 225400000X
Practice address
6055 E Washington Blvd
Commerce, CA 90040-2449
Phone
(323) 346-0960
NPI assigned
Nov 6, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X Yes

Addresses

Primary practice location

6055 E Washington Blvd
Commerce, CA 90040-2449

Mailing address

6055 E Washington Blvd
Commerce, CA 90040-2449

Other providers in Commerce, CA

All providers in Commerce, CA · Rehabilitation Practitioner in California

Sources for this page

Verify at the official NPI Registry.