Healthcare Provider Details

I. General information

NPI: 1831196492
Provider Name (Legal Business Name): CHRISTINE E AUSTIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/28/2005
Last Update Date: 01/26/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1832 BUENAVENTURA BLVD STE C
REDDING CA
96001-3700
US

IV. Provider business mailing address

PO BOX 496084
REDDING CA
96049-6084
US

V. Phone/Fax

Practice location:
  • Phone: 530-244-6534
  • Fax: 530-244-6595
Mailing address:
  • Phone: 530-241-0473
  • Fax: 530-241-5377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA68786
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: