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SAN CRISTOBAL MEDICAL GROUP INC NPI 1033436464


NPI Information

NPI: 1033436464
Provider Name: SAN CRISTOBAL MEDICAL GROUP, INC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1127 WILSHIRE BLVD
STE 820
LOS ANGELES, CA
ZIP 90017
Phone: (213) 413-4203
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SAN CRISTOBAL MEDICAL GROUP, INC is an interventional pain medicine pain medicine in Los Angeles, CA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. SAN CRISTOBAL MEDICAL GROUP, INC NPI is 1033436464. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1127 WILSHIRE BLVD
STE 820
LOS ANGELES, CA
ZIP 90017-901
Phone: (213) 413-4203

The provider's authorized official is Ernesto Y Casillas .
The authorized official title is Medical Director and has the following contact phone number (213) 413-4203.

The enumeration date for this NPI number is 4/25/2010 and was last updated on 4/25/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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