Healthcare Provider Details

I. General information

NPI: 1720911886
Provider Name (Legal Business Name): CHRISTOPHER DIONICIO SKOR RN, MICN, BSN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 LOVE CIR
SIMI VALLEY CA
93063-4324
US

IV. Provider business mailing address

1915 LOVE CIR
SIMI VALLEY CA
93063-4324
US

V. Phone/Fax

Practice location:
  • Phone: 805-791-1981
  • Fax:
Mailing address:
  • Phone: 805-791-1981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number95245336
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: