Individual
HENRY LAWRENCE AMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 TORRANCE BLVD, TORRANCE, CA 90503-4607
(310) 540-7676
(310) 540-1485
Mailing address
225 S LAKE AVE, 535, PASADENA, CA 91101-3005
(626) 795-6596
(626) 795-8247
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G25207
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G252070
—
CA
01
—
00G252071
BLUE SHIELD
CA
Enumeration date
07/18/2006
Last updated
07/08/2007
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