Healthcare Provider Details

I. General information

NPI: 1255787305
Provider Name (Legal Business Name): CHRISTIAN ANGUIANO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2016
Last Update Date: 05/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 POST ST SUITE 239
SAN FRANCISCO CA
94102-1401
US

IV. Provider business mailing address

490 POST ST SUITE 239
SAN FRANCISCO CA
94102-1401
US

V. Phone/Fax

Practice location:
  • Phone: 415-559-4429
  • Fax:
Mailing address:
  • Phone: 415-559-4429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND#781
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: