Healthcare Provider Details

I. General information

NPI: 1689581282
Provider Name (Legal Business Name): CHRISTINA BRAUN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAMERON BRAUN

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 MEDICAL CENTER CT
CHULA VISTA CA
91911-6618
US

IV. Provider business mailing address

13217 AURORA DR SPC 35
EL CAJON CA
92021-1812
US

V. Phone/Fax

Practice location:
  • Phone: 619-421-1051
  • Fax:
Mailing address:
  • Phone: 862-258-0450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: