SAN CRISTOBAL MEDICAL GROUP INC – NPI #1689733081
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

SAN CRISTOBAL MEDICAL GROUP INC is a provider located in LOS ANGELES, CA. NPPES has assigned the NPI number 1689733081 to SAN CRISTOBAL MEDICAL GROUP INC on December 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SAN CRISTOBAL MEDICAL GROUP INC below.

NPI Profile for
SAN CRISTOBAL MEDICAL GROUP INC

NPI Number
1689733081
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SAN CRISTOBAL MEDICAL GROUP INC
Primary location
610 N. CENTRAL AVENUE
SUITE109
LOS ANGELES, CA 91207
Phone: (818) 507-7836 Fax: (818) 507-1285
Mailing address
1930 WILSHIRE BLVD
SUITE 410
LOS ANGELES, CA 90057-3605
Phone: (213) 413-4203 Fax: (213) 413-5615
Organization Subpart
No
Authorized Official
RANDALL HRABKO
VICE PRESIDENT
Phone: (213) 413-4203
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 CA G39326

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.