Organization · Type 2 NPI
San Cristobal Medical Group Inc
General Practice Physician · Los Angeles, CA
NPI number
1689733081
Active
Practice location
610 N. Central Avenue, SUITE109
Los Angeles, CA 91207
Fax (818) 507-1285
Mailing address
1930 Wilshire Blvd, Suite 410
Los Angeles, CA 90057-3605
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | G39326 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1689733081
San Cristobal Medical Group Inc's National Provider Identifier is 1689733081, issued on Dec 8, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Aug 22, 2020.