Cisco Medical Group - Burbank
LBN: Cisco Medical Group, Inc
Cisco Medical Group - Burbank is an health care organization with primary practice located at 290 E Verdugo Ave Ste 206 , Burbank CA 91502-1342. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Primary Care. Ambulatory Health Care Facilities / Primary Care is the primary health care specialty.
Cisco Medical Group, Inc can be contacted via phone (818) 757-0954, or through Martinez Cardenas, Jose Francisco via phone (818) 757-0954.
Contact Information
Primary practice address
290 E Verdugo Ave Ste 206
Burbank CA 91502-1342
Phone: (818) 757-0954
Fax: (818) 757-0963
Website:
Authorized official contact:
Name: Martinez Cardenas, Jose Francisco Doctor of Medicine (MD)
Phone: (818) 757-0954
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1164097341 |
|---|---|
| LBN Legal business name | Cisco Medical Group, Inc |
| DBA Doing business as | Cisco Medical Group - Burbank |
| Authorized official | Martinez Cardenas, Jose Francisco Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 20th, 2021 |
| Last updated | Jun 11th, 2024 - about 5 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164097341 | NPPES |
| California | Other | 05D1013422 | CLIA |
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