| San Cristobal Medical Group Inc | |
|
610 N. Central Avenue Suite109 Los Angeles CA 91207 | |
| (818) 507-7836 | |
| (818) 507-1285 |
| Full Name | San Cristobal Medical Group Inc |
|---|---|
| Speciality | General Practice |
| Location | 610 N. Central Avenue, Los Angeles, California |
| Authorized Official Name and Position | Randall Hrabko (VICE PRESIDENT) |
| Authorized Official Contact | 2134134203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Cristobal Medical Group Inc 1930 Wilshire Blvd Suite 410 Los Angeles CA 90057-3605 Ph: (213) 413-4203 | San Cristobal Medical Group Inc 610 N. Central Avenue Suite109 Los Angeles CA 91207 Ph: (818) 507-7836 |
| NPI Number | 1689733081 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689733081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | G39326 (California) | Primary |
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