Individual
DR. CARRIE M. WAMBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
450 N ROXBURY DR, BEVERLY HILLS, CA 90210-4231
(310) 277-2393
Mailing address
14445 OLIVE VIEW DR RM 6B119 H, SYLMAR, CA 91342
(818) 364-3031
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A99236
CA
Other
Enumeration date
09/04/2007
Last updated
03/06/2013
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