Roy Gene Ambrose
Day Training/Habilitation Specialist in Long Beach, CA. Individual provider (NPI-1).
NPI number1720713480
StatusActive
Last updated in NPPESFeb 5, 2026
Details
- NPI
- 1720713480
- Entity type
- Individual (NPI-1)
- Name
- Roy Gene Ambrose
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 18, 2022
- Certification date
- Feb 5, 2026
- Last updated
- Feb 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 373H00000X | Day Training/Habilitation Specialist | – | CA | Yes |
| 172V00000X | Community Health Worker | – | CA | |
| 171M00000X | Case Manager/Care Coordinator | – | CA |
Practice location
4335 Atlantic AveLong Beach, CA 90807-2803
Phone 562-216-4900
Mailing address
4335 Atlantic AveLong Beach, CA 90807-2803
Phone 562-216-4900
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