Organization
AMBROSIA HEALTHCARE INC
Active
Other names
Ambrosia Healthcare Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MANISHKUMAR PATEL (CEO)
(760) 691-2000
Entity
Organization
Contact information
Practice address
75060 GERALD FORD DR STE 2, PALM DESERT, CA 92211-2080
(760) 691-2000
(888) 505-3006
Mailing address
PO BOX 10203, PALM DESERT, CA 92255-0203
(760) 691-2000
(888) 505-3006
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
Primary
PHY51868
CA
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2146736
PK
—
Enumeration date
06/02/2014
Last updated
09/19/2025
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