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

Montecristo Medical PC

Organization Primary Care Clinic/Center · NPI 1699268631

Montecristo Medical PC is a Primary Care Clinic/Center in Van Nuys, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

14649 Victory Blvd Ste 20
Van Nuys, CA 91411
Phone: (818) 786-8396
Fax: (818) 901-7128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 14350 Victory Blvd Ste 3, Van Nuys, CA 91401-1994 — (818) 786-8396
  • 14350 Victory Blvd Ste 3, Van Nuys, CA 91401-1994 — (818) 786-8396

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence A100277 (CA)

Record details

NPI number1699268631
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anita Gonzalez — President · (818) 568-6923
NPI enumeratedJune 13, 2018
Last updated in NPPESOctober 23, 2019
Mailing address14649 Victory Blvd Ste 20, Van Nuys, CA 91411-4101

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