Organization · Type 2 NPI
Montecristo Medical PC
Primary Care Clinic/Center · Van Nuys, CA
NPI number
1699268631
Active
Practice location
14649 Victory Blvd Ste 20
Van Nuys, CA 91411
Fax (818) 901-7128
Other practice locations
- 14350 Victory Blvd Ste 3, Van Nuys, CA 91401-1994 · (818) 786-8396
- 14350 Victory Blvd Ste 3, Van Nuys, CA 91401-1994 · (818) 786-8396
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | A100277 (CA) |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1699268631
Montecristo Medical PC's National Provider Identifier is 1699268631, issued on Jun 13, 2018. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Van Nuys, CA. The record was last updated on Oct 23, 2019.