Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MARK AMBROSIO, RRT, RCP
Active2279C0205X · GLENDALE, CA
Registration Details
- NPI Number
- 1770907594
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 13, 2014 (12.185761312521 yrs)
- Last Updated
- Feb 13, 2014
- License
-
24865 (CA)
Practice Information
- Address
-
1043 THOMPSON AVE APT 3GLENDALE, CA, 912011792Browse CA providers · Browse ZIP 91201
- Phone
- 8186447313
- Primary Specialty
-
2279C0205X
2279C0205X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.