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
610 N. CENTRAL AVENUE, SUITE109, LOS ANGELES, CA 91207
(818) 507-7836
(818) 507-1285
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
12/08/2006
Last updated
08/22/2020
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