Organization
AMBROSE S. MASTO, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBROSE S. MASTO M.D. (PRESIDENT)
(818) 848-8840
Entity
Organization
Contact information
Practice address
3808 W RIVERSIDE DR, 400, BURBANK, CA 91505-4325
(818) 848-8840
(818) 848-0439
Mailing address
3808 W RIVERSIDE DR, 400, BURBANK, CA 91505-4325
(818) 848-8840
(818) 848-0439
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G12364
CA
Other
Enumeration date
07/08/2006
Last updated
08/22/2020
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