Individual
AMBROSE S. MASTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3808 W RIVERSIDE DR, STE#400, BURBANK, CA 91505-4325
(818) 848-8840
Mailing address
3808 W RIVERSIDE DR, STE#400, BURBANK, CA 91505-4325
(818) 848-8840
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G12964
CA
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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