Organization
SAN CRISTOBAL MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMOS CHEERKEY ACOFF M.D. (PRESIDENT)
(213) 413-4203
Entity
Organization
Contact information
Practice address
1930 WILSHIRE BLVD, SUITE 405, LOS ANGELES, CA 90057-3605
(213) 413-1890
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
302F00000X
Exclusive Provider Organization
Primary
FNP 24915
CA
Other
Enumeration date
06/23/2006
Last updated
08/22/2020
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