Individual
JOY DIRHAM AMBRO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.P.T.
Contact information
Practice address
24026 VISTA MONTANA, TORRANCE, CA 90505-6462
(310) 373-6226
(310) 373-6557
Mailing address
23109 FALENA AVE, TORRANCE, CA 90501-5618
(310) 373-6226
(310) 373-6557
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT14298
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPT142980
BLUE SHIELD PROVIDER #
CA
01
—
PT14298
STATE LICENSE NUMBER
CA
Enumeration date
07/06/2005
Last updated
07/08/2007
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