| Cisco Medical Group - Burbank | |
|
290 E Verdugo Ave Ste 206 Burbank CA 91502-1342 | |
| (818) 757-0954 | |
| (818) 757-0963 |
| Full Name | Cisco Medical Group - Burbank |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 290 E Verdugo Ave Ste 206, Burbank, California |
| Authorized Official Name and Position | Jose Francisco Martinez Cardenas (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Contact | 8187570954 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cisco Medical Group - Burbank 18518 Sherman Way Reseda CA 91335-4212 Ph: (818) 757-0954 | Cisco Medical Group - Burbank 290 E Verdugo Ave Ste 206 Burbank CA 91502-1342 Ph: (818) 757-0954 |
| NPI Number | 1164097341 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 06/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164097341 | NPI | - | NPPES |
| 05D1013422 | Other | CA | CLIA |
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