Healthcare Provider Details

I. General information

NPI: 1629996483
Provider Name (Legal Business Name): MR. CHRISTOPHER L CANO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 W WILLOW ST
LONG BEACH CA
90806-2803
US

IV. Provider business mailing address

437 W WILLOW ST
LONG BEACH CA
90806-2803
US

V. Phone/Fax

Practice location:
  • Phone: 562-548-8078
  • Fax:
Mailing address:
  • Phone: 562-548-8078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: