Healthcare Provider Details

I. General information

NPI: 1336835065
Provider Name (Legal Business Name): CHRISTINA KURNIK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA WORKS

II. Dates (important events)

Enumeration Date: 04/14/2023
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 STOCKTON BLVD
SACRAMENTO CA
95817
US

IV. Provider business mailing address

2315 STOCKTON BLVD
SACRAMENTO CA
95817
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-5974
  • Fax:
Mailing address:
  • Phone: 916-734-5974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA197420
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: