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Organization

SAN CRISTOBAL MEDICAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RANDALL HRABKO M.D. (VICE PRESIDENT)
(213) 413-4203
Entity
Organization

Contact information

Practice address
2011 W WHITTIER BLVD, SUITE 101, MONTEBELLO, CA 90640-4010
(323) 838-5994
(323) 838-0779
Mailing address
1930 WILSHIRE BLVD, SUITE 410, LOS ANGELES, CA 90057-3605
(213) 413-4203
(213) 413-5615

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G39326
CA

Other

Enumeration date
12/14/2006
Last updated
08/22/2020
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