Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | G43170 | CA |
NPI | 1568510493 |
---|---|
Provider Name | Sandra C. Christiansen |
First Address | San Diego, CA 92193-2410 |
Second Address | San Diego, CA 92120-2507 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/01/2007 |
Last Update Date | 30/09/2016 |