# SAN CRISTOBAL MEDICAL GROUP INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689733081
- **Authorized official:** RANDALL HRABKO M.D. (VICE PRESIDENT)
- **Authorized official phone:** (213) 413-4203

## Contact information

- **Practice address:** 610 N. CENTRAL AVENUE, SUITE109, LOS ANGELES, CA 91207
- **Practice address phone:** (818) 507-7836
- **Practice address fax:** (818) 507-1285
- **Mailing address:** 1930 WILSHIRE BLVD, SUITE 410, LOS ANGELES, CA 90057-3605
- **Mailing address phone:** (213) 413-4203
- **Mailing address fax:** (213) 413-5615

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | G39326 | CA | Yes |

## Other

- **Enumeration date:** 12/08/2006
- **Last updated:** 08/22/2020