Healthcare Provider Details

I. General information

NPI: 1467977637
Provider Name (Legal Business Name): DR. RICHARD NORMAN CHRISTIE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2017
Last Update Date: 08/09/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 WASHINGTON ST STE 725
SAN DIEGO CA
92103-2241
US

IV. Provider business mailing address

501 WASHINGTON ST STE 725
SAN DIEGO CA
92103-2241
US

V. Phone/Fax

Practice location:
  • Phone: 949-887-6109
  • Fax:
Mailing address:
  • Phone: 949-887-6109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberA44370
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberA044370
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number44370
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: