Individual
DR. MA. TERESA C. AMBAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2000
Mailing address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
C133302
CA
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
C133302
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-55-286-8
EDU. COMM FOR FOREIGN MED
TX
01
—
X0144873
DPS
TX
Enumeration date
07/26/2006
Last updated
03/07/2023
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