Organization
ST. PANTALEON A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTINA SHEFTIC (PRESIDENT)
(310) 486-4810
Entity
Organization
Contact information
Practice address
22841 BRIARCLIFF, MISSION VIEJO, CA 92692-1670
(310) 486-4810
Mailing address
22841 BRIARCLIFF, MISSION VIEJO, CA 92692-1670
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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