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Organization
SANTO NINO MEDICAL GROUP
Active
Organization
SANTO NINO MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN A MARSHAK M.D. (OWNER)
(310) 553-5203
Entity
Organization
Contact information
Practice address
14860 ROSCOE BLVD STE 201, PANORAMA CITY, CA 91402-4689
(818) 206-3380
(818) 206-3390
Mailing address
PO BOX 15655, BEVERLY HILLS, CA 90209-1655
(818) 206-3380
(818) 206-3390
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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