Healthcare Provider Details

I. General information

NPI: 1043742133
Provider Name (Legal Business Name): CHRISTA MARIA ESKELIN PH-D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2017
Last Update Date: 03/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4419 VAN NUYS BLVD, SUITE 400
SHERMAN OAKS CA
91403
US

IV. Provider business mailing address

4419 VAN NUYS BLVD, SUITE 400
SHERMAN OAKS CA
91403
US

V. Phone/Fax

Practice location:
  • Phone: 818-788-3679
  • Fax:
Mailing address:
  • Phone: 818-788-3679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLMFT16834
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: