Search › California › 103TC0700X
Jacob Ambrose
NPI 1588149017 · on the registry since 2018
Practice
- Address
- 1110 24th St
Apt 8
San Diego, CA 92102 - Phone
- (619) 728-4177
- Fax
- (573) 503-0122
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-12-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California