Provider Demographics
NPI:1568286052
Name:SANTO NINO HEALTH CENTER
Entity type:Organization
Organization Name:SANTO NINO HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, CLINIC OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARIETTE
Authorized Official - Middle Name:N
Authorized Official - Last Name:AROUTIOUNIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-236-4709
Mailing Address - Street 1:14427 CHASE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-3020
Mailing Address - Country:US
Mailing Address - Phone:818-830-7751
Mailing Address - Fax:
Practice Address - Street 1:14860 ROSCOE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-4683
Practice Address - Country:US
Practice Address - Phone:818-830-7751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SANTO NINO HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-11
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care