Healthcare Provider Details

I. General information

NPI: 1518898311
Provider Name (Legal Business Name): CHRISTINE JOY PHILLIPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1052 HEBER AVE
HEBER CA
92249-9759
US

IV. Provider business mailing address

1910 AURORA DR
EL CENTRO CA
92243-4108
US

V. Phone/Fax

Practice location:
  • Phone: 760-337-6530
  • Fax: 760-352-3534
Mailing address:
  • Phone: 760-337-6530
  • Fax: 760-352-3534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number8640
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: