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ADRIAN JACQUES HALCYON AMBROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
900 S MAIN ST STE 209, CORONA, CA 92882-3401
(714) 545-5550
(949) 991-2040
Mailing address
19782 MACARTHUR BLVD STE 300, IRVINE, CA 92612-2417
(714) 545-5550
(949) 991-2040

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
C193525
CA

Other

Enumeration date
03/26/2014
Last updated
04/01/2026
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