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.
Organization
SANTO NINO MEDICAL GROUP INC
Active
Organization
SANTO NINO MEDICAL GROUP INC
Active
Other names
Santo nino Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN A MARSHAK M.D. (PRESIDENT / OWNER)
(818) 830-7751
Entity
Organization
Contact information
Practice address
14427 CHASE ST, STE. 100, PANORAMA CITY, CA 91402-3020
(818) 830-7751
(818) 891-7892
Mailing address
14427 CHASE ST, STE. 100, PANORAMA CITY, CA 91402-3020
(818) 830-7751
(818) 891-7892
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A44687
CA
207Q00000X
Family Medicine Physician
C50675
CA
207Q00000X
Family Medicine Physician
PA15625
CA
208D00000X
General Practice Physician
G080659
CA
363A00000X
Physician Assistant
PA21838
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0092750
—
CA
Enumeration date
09/01/2006
Last updated
02/14/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers