Organization
MONTECRISTO MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITA EMPERATRIZ GONZALEZ MD (PRESIDENT)
(818) 568-6923
Entity
Organization
Contact information
Practice address
14649 VICTORY BLVD STE 20, VAN NUYS, CA 91411
(818) 786-8396
(818) 901-7128
Mailing address
14649 VICTORY BLVD STE 20, VAN NUYS, CA 91411-4101
(818) 786-8396
(818) 901-7128
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A100277
CA
Other
Enumeration date
06/13/2018
Last updated
10/23/2019
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