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MARY ANTONIETTE AMBACH M.D.
Pain Medicine >> Physical Medicine & Rehabilitation >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1083769566
Individual Registrant: MARY ANTONIETTE AMBACH M.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
6125 PASEO DEL NORTE STE 100 CARLSBAD, CA 92011 US
Tel: 760-909-2355 Fax: 760-448-5363
Tel: 760-909-2355 Fax: 760-448-5363
Contact information for business:
6125 PASEO DEL NORTE STE 100 CARLSBAD, CA 92011-1113 US
Tel: 760-909-2355 Fax: 760-448-5363
Tel: 760-909-2355 Fax: 760-448-5363
Registration Information:
NPI: 1083769566
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2081P2900X | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Pain Medicine | CA | A108622 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BCBS | 00231 | FL | 01 |
| CIGNA | 1083769566 | FL | 01 |
