Corey Ian Ambrose is a student in an organized health care education training program in Los Angeles, CA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Corey Ian Ambrose NPI is 1669058251. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1200 N STATE ST STE A7D
LOS ANGELES, CA
ZIP 90089-001
Phone: (323) 409-1000
The NPI 1669058251 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 3/23/2021 and was last updated on 3/23/2021.