Organization
SCIENTIA MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS D'AMBROSIO M.D. (MEMBER)
(310) 346-6020
Entity
Organization
Contact information
Practice address
30401 AGOURA RD, AGOURA HILLS, CA 91301-2084
(818) 889-7240
Mailing address
30401 AGOURA RD, AGOURA HILLS, CA 91301-2084
(818) 889-7240
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
G73590
CA
207Q00000X
Family Medicine Physician
G73590
CA
207R00000X
Internal Medicine Physician
G73590
CA
207X00000X
Orthopaedic Surgery Physician
Primary
G73590
CA
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
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