Healthcare Provider Details

I. General information

NPI: 1679649263
Provider Name (Legal Business Name): CHRISTOPHER JAMES LINDSHIELD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 08/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 MDS LOS ANGELES AIR FORCE BASE
EL SEGUNDO CA
90245
US

IV. Provider business mailing address

61 MDS LOS ANGELES AIR FORCE BASE 483 N AVIATION BLVD
EL SEGUNDO CA
90245
US

V. Phone/Fax

Practice location:
  • Phone: 106-536-8503
  • Fax:
Mailing address:
  • Phone: 310-653-6850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMDR 4820
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: