Healthcare Provider Details

I. General information

NPI: 1649401555
Provider Name (Legal Business Name): CHRISTOPHER IAN SCOTT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/27/2009
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23845 MCBEAN PKWY EMERGENCY DEPARTMENT
VALENCIA CA
91355-2001
US

IV. Provider business mailing address

4647 ZION AVE
SAN DIEGO CA
92120-2507
US

V. Phone/Fax

Practice location:
  • Phone: 661-253-8112
  • Fax:
Mailing address:
  • Phone: 619-528-5120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberA113885
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: