Healthcare Provider Details

I. General information

NPI: 1770278954
Provider Name (Legal Business Name): CHRISTINA HOTOYAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2023
Last Update Date: 01/24/2025
Certification Date: 01/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2512 FOOTHILL BLVD STE 4
LA CRESCENTA CA
91214-3506
US

IV. Provider business mailing address

75 W HOLLY ST UNIT 1028
PASADENA CA
91103-3946
US

V. Phone/Fax

Practice location:
  • Phone: 818-570-0721
  • Fax:
Mailing address:
  • Phone: 626-660-4597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number137322
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: