NPI 1033436464
San Cristobal Medical Group, INC
Practice location
- Address
- 1127 Wilshire Blvd STE 820, Los Angeles, CA 90017-3901
- Phone
- (213) 413-4203
Authorised official
- Name
- Ernesto Y Casillas
- Title
- Medical Director
- Phone
- (213) 413-4203
Registered specialties
Interventional Pain Medicine Physician
Primary
Registry record
- NPI
- 1033436464
- Entity type
- Organization
- NPI issued
- 25 Apr 2010
- Record last updated
- 25 Apr 2010
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.