Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 20A15088 | CA |
N | 207RC0000X | Internist - Cardiovascular Disease | 20A15088 | CA |
NPI | 1871897678 |
---|---|
Provider Name | Dr. Antonio Christophy |
First Address | San Diego, CA 92127-5705 |
Second Address | La Mesa, CA 91941-7340 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2011 |
Last Update Date | 15/03/2021 |