Santo Nino Medical Clinic
LBN: Santo Nino Medical Group Inc
Santo Nino Medical Clinic is an health care organization with primary practice located at 14427 Chase St Ste. 100, Panorama City CA 91402-3020. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Santo Nino Medical Group Inc can be contacted via phone (818) 830-7751, or through Marshak, Glenn A via phone (818) 830-7751.
Contact Information
Primary practice address
14427 Chase St Ste. 100
Panorama City CA 91402-3020
Phone: (818) 830-7751
Fax: (818) 891-7892
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A44687 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | PA15625 | California |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C50675 | California |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | G080659 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA21838 | California |
Profile Details
| NPI number | 1770685612 |
|---|---|
| LBN Legal business name | Santo Nino Medical Group Inc |
| DBA Doing business as | Santo Nino Medical Clinic |
| Authorized official | Marshak, Glenn A Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Feb 14th, 2023 - about 2 years 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 | 1770685612 | NPPES |
| California | MEDICAID | GR0092750 |
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