Healthcare Provider Details

I. General information

NPI: 1518894468
Provider Name (Legal Business Name): MR. CHRISTOPHER KUBER JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1459 E THOUSAND OAKS BLVD
THOUSAND OAKS CA
91362-2806
US

IV. Provider business mailing address

432 E WILBUR RD APT 102
THOUSAND OAKS CA
91360-5407
US

V. Phone/Fax

Practice location:
  • Phone: 866-847-2066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: