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Organization
AMBACH MA, P.C.
Active
Organization
AMBACH MA, P.C.
Active
Other names
Bioevolve San Diego Orthobiologics and Sports Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY AMBACH MD (OWNER)
(239) 410-8441
Entity
Organization
Contact information
Practice address
285 N EL CAMINO REAL STE 110, ENCINITAS, CA 92024-5384
(858) 225-1922
(858) 327-9656
Mailing address
285 N EL CAMINO REAL STE 110, ENCINITAS, CA 92024-5384
(858) 225-1922
(858) 327-9656
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
11/12/2024
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