Healthcare Provider Details
I. General information
NPI: 1922128255
Provider Name (Legal Business Name): CHRISTOPHER RIGAS HANCOCK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/30/2007
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
48471 CRESTVIEW DR
PALM DESERT CA
92260-6565
US
IV. Provider business mailing address
PO BOX 25180
PORTLAND OR
97298-0180
US
V. Phone/Fax
- Phone: 760-776-8989
- Fax: 760-779-8073
- Phone: 503-292-9108
- Fax: 503-292-0346
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | R3855 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | A114746 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | MD180107 |
| License Number State | OR |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: