Organization
SANTO NINO HEALTH CENTER
Active
Organization
SANTO NINO HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN MARSHAK MD (CEO)
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
01/16/2025
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