Individual ProviderLorena Prisma AmbrizPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5926 Monterey Rd, Los Angeles, CA 90042-4943(323) 503-1414(559) 202-8027PECOS EnrollmentBased on the most recent information from CMS, provider Lorena Prisma Ambriz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1316777238Provider TypeIndividualFull NameAmbriz, Lorena PrismaTitleDr.CredentialPT, DPTGenderFemaleSole ProprietorNoEnumeration Date8/5/2024Last Updated8/7/2024Contact InformationPractice LocationPractice Address5926 Monterey Rd, Los Angeles, CA 90042-4943Phone(323) 503-1414FaxUnlisted FaxMailing LocationMailing Address5933 Monterey Rd Apt 37-4, Los Angeles, CA 90042-5177Phone(559) 202-8027FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense306391California