Healthcare Provider Details

I. General information

NPI: 1083535900
Provider Name (Legal Business Name): CHRISTINE DOAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3560 HEATHER CIR
SEAL BEACH CA
90740-3120
US

IV. Provider business mailing address

3560 HEATHER CIR
SEAL BEACH CA
90740-3120
US

V. Phone/Fax

Practice location:
  • Phone: 626-320-7373
  • Fax:
Mailing address:
  • Phone: 626-320-7373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: