Provider Demographics
NPI:1407127657
Name:D'AMBROSIO, FRANCIS GERARD (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:GERARD
Last Name:D'AMBROSIO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:22631 PACIFIC COAST HWY # 793
Mailing Address - Street 2:
Mailing Address - City:MALIBU
Mailing Address - State:CA
Mailing Address - Zip Code:90265-5036
Mailing Address - Country:US
Mailing Address - Phone:310-470-3134
Mailing Address - Fax:310-470-2001
Practice Address - Street 1:851 DEVON AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-2507
Practice Address - Country:US
Practice Address - Phone:310-346-6020
Practice Address - Fax:310-470-2001
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-19
Last Update Date:2014-01-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG73590207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine