Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rohin Ambaram

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457747123

Rohin Ambaram is a Student in an Organized Health Care Education/Training Program in Tarzana, California. Practices as a sole proprietor and works from 3 locations. Licensed in California and Michigan.

Licensed in
CA, MI
In the registry since
2015
Specialties on file
2

Practice location Address checks out

19100 Ventura Blvd Ste 3
Tarzana, CA 91356-3234
Phone: (916) 517-3481
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • Park Place Dental Group, Newbury Park, CA 91320 — (805) 499-4441
  • 4201 Saint Antoine St, Detroit, MI 48201-2153 — (313) 745-4622

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 100021 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MI)

Record details

NPI number1457747123
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 9, 2015
Last updated in NPPESJune 28, 2021
Certification dateJune 28, 2021
Mailing address18 Autumn Leaf Dr, Thousand Oaks, CA 91360-2607

Other providers in Tarzana