St Medical Institute
NPI #1477192193 in Baldwin Park, California
Provider Information
- NPI Number
- 1477192193
- Entity Type
- Organization
- Organization Name
- St Medical Institute
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Dec 27, 2019
- Last Updated
- Dec 27, 2019
Practice Location
- Address
- 4137 MAINE AVE
- City
- Baldwin Park
- State
- California
- ZIP Code
- 91706-3309
- Phone
- (480) 626-3416
Authorized Official
- Name
- SAMER SANNOUFI, MD
- Title
- PRESIDENT
- Phone
- (480) 626-3416
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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