Healthcare Provider Details

I. General information

NPI: 1407769847
Provider Name (Legal Business Name): CHRISTOPHER JAMES/EDWARD HAHN RRT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14916 POINSETTIA CIR
FONTANA CA
92336-1624
US

IV. Provider business mailing address

14916 POINSETTIA CIR
FONTANA CA
92336-1624
US

V. Phone/Fax

Practice location:
  • Phone: 909-563-0856
  • Fax:
Mailing address:
  • Phone: 909-563-0856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number40337
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: