SAN CRISTOBAL MEDICAL GROUP INC (NPI# 1689733081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689733081 |
| Entity Type | Organization |
| Organization Name | SAN CRISTOBAL MEDICAL GROUP INC |
| Practice Address |
610 N. Central Avenue Suite109 Los Angeles CA 91207 |
| Mailing Address |
1930 Wilshire Blvd Suite 410 Los Angeles CA 90057-3605 |
| Practice Telephone | 8185077836 |
| Practice Fax Number | 8185071285 |
| Mailing Telephone | 2134134203 |
| Mailing Fax Number | 2134135615 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | RANDALL HRABKO (VICE PRESIDENT) |
| Authorized Official Telephone | 2134134203 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G39326 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245392554 | San Cristobal Medical Group Inc | General Practice | 2011 W Whittier Blvd, Suite 101, Montebello, CA 90640-4010 | 2006-12-14 |
| Street Address |
610 N. CENTRAL AVENUE SUITE109 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 91207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356986640 | Mariel Krystel V Llamas | Pharmacist | 150 E Glenoaks Blvd, Glendale, CA 91207 | 2019-11-11 |
| 1992287445 | Paul Meserkhani Dds Inc | Clinic/Center | 620 E Glenoaks Blvd Ste B, Glendale, CA 91207 | 2018-08-31 |
| 1760720775 | Mery Mkrtchian | Behavioral Analyst | 402 East Dryden St, #1, Glendale, CA 91207 | 2013-01-25 |
| 1518215177 | Lusine Dishigrikyan | Pharmacist | 108 E. Kenneth Road, Glendale, CA 91207 | 2012-08-29 |
| 1578859567 | Arina V Hartunian | Dentist | 418 E. Glenoaks Blvd., Kids Dental Place, Suite # 202, Glendale, CA 91207 | 2011-06-28 |
| 1831422930 | Jeanette I Lantz | Psychologist | 601 E. Glenoaks Blvd, Suite 102, Glendale, CA 91207 | 2009-09-09 |
| 1215147681 | Pia Bravo Padillo | Physical Therapist | 1254 North Everrett St, Glendale, CA 91207 | 2007-05-23 |
| 1710106455 | Avi Amit | Physical Therapist | 333 E Glenoaks Blvd Ste 204, Glendale, CA 91207 | 2007-04-24 |
| 1063597417 | Edith Gevorgian | Dentist | 332 E Glenoaks Blvd, #100, Glendale, CA 91207 | 2006-10-26 |
| 1972690899 | Med-pro Family Clinic, A Medical Corporation | Surgery | 221 E. Glenoaks Blvd., 130, Glendale, CA 91207 | 2006-10-10 |
| Find all providers in zip 91207 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1104470384 | Chan Family Medical Corp | General Practice | 4070 E. Olympic Blvd, Los Angeles, CA 90023 | 2019-07-26 |
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| 1942767801 | Plaza Health Services Inc. | General Practice | 11111 Santa Monica Blvd Ste 200, Los Angeles, CA 90025-3333 | 2019-02-27 |
| 1124536289 | Edward Meltser | General Practice | 469 N Alfred St, Los Angeles, CA 90048-2504 | 2018-01-11 |
| 1023524980 | St. Johns Urgent Care & Medical Corporation | General Practice | 1138 N Western Ave, Los Angeles, CA 90029-1702 | 2017-12-14 |
| 1992234199 | David Ghods | General Practice | 3631 Crenshaw Blvd Ste 109, Los Angeles, CA 90016-4869 | 2017-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 91207 |
Please comment or provide details below to improve the information on SAN CRISTOBAL MEDICAL GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.