Individual provider · Type 1 NPI

Chloe Adrianna Ambalong, PA

Student in an Organized Health Care Education/Training Program · Sacramento, CA

NPI number 1134961972 Active

Practice location

2570 48th St
Sacramento, CA 95817-1541

Call (916) 734-2145 Map

Mailing address

4735 Cowell Blvd Apt 49
Davis, CA 95618-4468

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1134961972

Chloe Adrianna Ambalong, PA's National Provider Identifier is 1134961972, issued on Jun 12, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sacramento, CA. The record was last updated on Jun 12, 2024.