# SCIENTIA MEDICAL GROUP INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679995997
- **Authorized official:** DR. FRANCIS D'AMBROSIO M.D. (MEMBER)
- **Authorized official phone:** (310) 346-6020

## Contact information

- **Practice address:** 30401 AGOURA RD, AGOURA HILLS, CA 91301-2084
- **Practice address phone:** (818) 889-7240
- **Mailing address:** 30401 AGOURA RD, AGOURA HILLS, CA 91301-2084
- **Mailing address phone:** (818) 889-7240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | G73590 | CA | — |
| 207Q00000X | Family Medicine Physician | G73590 | CA | — |
| 207R00000X | Internal Medicine Physician | G73590 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | G73590 | CA | Yes |
| 207Y00000X | Otolaryngology Physician | G73590 | CA | — |
| 2085B0100X | Body Imaging Physician | G73590 | CA | — |
| 208600000X | Surgery Physician | G73590 | CA | — |
| 208VP0000X | Pain Medicine Physician | G73590 | CA | — |
| 209800000X | Legal Medicine (M.D./D.O.) Physician | G73590 | CA | — |

## Other

- **Enumeration date:** 01/07/2014
- **Last updated:** 01/07/2014