Organization
SAN CRISTOBAL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANIBAL FALLA (CEO)
(213) 413-4203
Entity
Organization
Contact information
Practice address
1930 WILSHIRE BLVD, SUITE 405, LOS ANGELES, CA 90057-3605
(213) 413-4203
(213) 413-5615
Mailing address
1930 WILSHIRE BLVD, SUITE 405, LOS ANGELES, CA 90057-3605
(213) 413-4203
(213) 413-5615
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
W16925
CA
Other
Enumeration date
05/11/2006
Last updated
10/28/2009
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