Healthcare Provider Details

I. General information

NPI: 1225494586
Provider Name (Legal Business Name): CHRISTOPHER REDDEN MSN, PMHNP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/01/2016
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 LA JOLLA VILLAGE DR
SAN DIEGO CA
92161-1098
US

IV. Provider business mailing address

1701 HAMPTON CT
BONITA CA
91902-4009
US

V. Phone/Fax

Practice location:
  • Phone: 619-476-6060
  • Fax:
Mailing address:
  • Phone: 405-535-8924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95004144
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number722247
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: