SAN CRISTOBAL MEDICAL GROUP INC NPI 1689733081

NPI Information

NPI: 1689733081
Provider Name: SAN CRISTOBAL MEDICAL GROUP INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
610 N. CENTRAL AVENUE
SUITE109
LOS ANGELES, CA
ZIP 91207
Phone: (818) 507-7836
Get Directions

SAN CRISTOBAL MEDICAL GROUP INC is a general practice in Los Angeles, CA. SAN CRISTOBAL MEDICAL GROUP INC NPI is 1689733081. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

610 N. CENTRAL AVENUE
SUITE109
LOS ANGELES, CA
ZIP 91207
Phone: (818) 507-7836
Fax: (818) 507-1285

The provider's authorized official is Randall Hrabko .
The authorized official title is Vice President and has the following contact phone number (213) 413-4203.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		G39326	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »