Individual
AMBRA COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
944 PACIFIC AVE, LONG BEACH, CA 90813-4228
(562) 436-3533
Mailing address
3818 CRENSHAW BLVD, LOS ANGELES, CA 90008-1813
(562) 756-6715
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
1225257264
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7006
—
CA
Enumeration date
04/25/2007
Last updated
05/07/2025
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