CISCO MEDICAL GROUP INC NPI 1164097341

NPI Information

CISCO MEDICAL GROUP, INC is a primary care clinic center in Burbank, CA. CISCO MEDICAL GROUP, INC NPI is 1164097341. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cisco Medical Group - Burbank.

The provider's business location address is:

290 E VERDUGO AVE STE 206
BURBANK, CA
ZIP 91502-342
Phone: (818) 757-0954
Fax: (818) 757-0963

The provider's authorized official is Jose Francisco Martinez Cardenas .
The authorized official title is President/medical Director and has the following contact phone number (818) 757-0954.

The CLIA number assigned to this NPI record is 05D1055441 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2021 and was last updated on 3/25/2023.

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:

Other Identifiers

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