# ST. PANTALEON A MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1720733413
- **Authorized official:** MARTINA SHEFTIC (PRESIDENT)
- **Authorized official phone:** (310) 486-4810

## Contact information

- **Practice address:** 22841 BRIARCLIFF, MISSION VIEJO, CA 92692-1670
- **Practice address phone:** (310) 486-4810
- **Mailing address:** 22841 BRIARCLIFF, MISSION VIEJO, CA 92692-1670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | NULL | Yes |
| 207QH0002X | Hospice and Palliative Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/21/2022
- **Last updated:** 02/21/2022