Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cisco Medical Group, Inc

Organization Internal Medicine Physician · NPI 1164097341

Cisco Medical Group, Inc is an Internal Medicine Physician in Burbank, California. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

290 E Verdugo Ave Ste 206
Burbank, CA 91502-1342
Phone: (818) 757-0954
Fax: (818) 757-0963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Internal Medicine Physician Taxonomy 207R00000X
General Practice Physician Taxonomy 208D00000X

Record details

NPI number1164097341
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Martinez Cardenas — President/Medical Director · (818) 757-0954
Other names Cisco Medical Group - Burbank; Cisco Medical Group - Burbank
NPI enumeratedMay 20, 2021
Last updated in NPPESJune 11, 2024
Certification dateJune 11, 2024
Mailing address18518 Sherman Way, Reseda, CA 91335-4212

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