Healthcare Provider Details

I. General information

NPI: 1215034038
Provider Name (Legal Business Name): CHRISTOPHER MICHAEL HUSING R.D., L.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10665 COLOMA RD SUITE 400
RANCHO CORDOVA CA
95670-4026
US

IV. Provider business mailing address

8885 MONTEREY OAKS DR
ELK GROVE CA
95758-6348
US

V. Phone/Fax

Practice location:
  • Phone: 916-638-4735
  • Fax: 916-638-4686
Mailing address:
  • Phone: 916-730-8165
  • Fax: 916-638-4686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDT06499
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number883147
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: