| Dr Ma Teresa C Ambat, MD | |
|
13652 Cantara St, Panorama City, CA 91402-5423 | |
| (818) 375-2000 | |
| Not Available |
| Full Name | Dr Ma Teresa C Ambat |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 13652 Cantara St, Panorama City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598788929 | NPI | - | NPPES |
| X0144873 | Other | TX | DPS |
| 0-55-286-8 | Other | TX | EDU. COMM FOR FOREIGN MED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | C133302 (California) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | C133302 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ma Teresa C Ambat, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 | Dr Ma Teresa C Ambat, MD 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2000 |
David Braun, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Mohamed D. Gudal, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Alice Lim, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Veena P. Damle, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Karen M. Hirsch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Mary V. Ong-veloso, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 | |
Wadie S. Tadros, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000 |