Healthcare Provider Details

I. General information

NPI: 1205530664
Provider Name (Legal Business Name): BRITTANY MARIE AMBROSE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2615 CHESTER AVE
BAKERSFIELD CA
93301-2014
US

IV. Provider business mailing address

3220 PHAIRFIELD ST
BAKERSFIELD CA
93314-9246
US

V. Phone/Fax

Practice location:
  • Phone: 661-874-4167
  • Fax:
Mailing address:
  • Phone: 661-201-8087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number20A25304
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: