Individual
CHRISTOPHER DAMBROSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1500 OWENS ST FL 2, SAN FRANCISCO, CA 94158-2338
(415) 353-2808
Mailing address
1500 OWENS ST FL 2, SAN FRANCISCO, CA 94158-2338
(415) 514-6165
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
53747
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53747
PHYSICIAN ASSISTANT STATE LICENSE
CA
Enumeration date
09/13/2016
Last updated
04/22/2021
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