San Cristobal Medical Group Inc.
NPI #1497781579 in Los Angeles, California
Provider Information
- NPI Number
- 1497781579
- Entity Type
- Organization
- Organization Name
- San Cristobal Medical Group Inc.
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Jun 23, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1930 WILSHIRE BLVD
- Address 2
- SUITE 405
- City
- Los Angeles
- State
- California
- ZIP Code
- 90057-3605
- Phone
- (213) 413-1890
Authorized Official
- Name
- AMOS CHEERKEY ACOFF, M.D.
- Title
- PRESIDENT
- Phone
- (213) 413-4203
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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