Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G47986 | CA |
N | 111NI0900X | Internist | G47986 | CA |
Y | 207RH0002X | Hospice and Palliative Medicine | G47986 | CA |
NPI | 1356427884 |
---|---|
Provider Name | Dr. Kate Thamina Christensen |
First Address | Martinez, CA 94553 |
Second Address | Martinez, CA 94553 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 12/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G479860 | (05) | CA |
F16200 | (02) |