Individual
MARY ANTONIETTE AMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
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
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A108622
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00231
BCBS
FL
01
—
1083769566
CIGNA
FL
Enumeration date
01/24/2007
Last updated
11/12/2024
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