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General NPI Number Information
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NPI Number | 1568286052
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Entity Type | Organization
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Legal Business Name | SANTO NINO HEALTH CENTER
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 14860 ROSCOE BLVD STE 200
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City | PANORAMA CITY
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State | CA
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Zip | 91402-4683
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Country | US
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Telephone | 818-830-7751
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Fax |
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Provider Business Mailing Address
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Address Line | 14427 CHASE ST STE 100
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City | PANORAMA CITY
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State | CA
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Zip | 91402-3020
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Country | US
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Telephone | 818-830-7751
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT, CLINIC OPERATIONS
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Name | MARIETTE N AROUTIOUNIAN
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Credential |
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Telephone | 323-236-4709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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