Healthcare Provider Details

I. General information

NPI: 1952112948
Provider Name (Legal Business Name): CHRIS LAMAR-STERLING CDCES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2025
Last Update Date: 01/17/2025
Certification Date: 01/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD # 2923
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

970 PALM AVE APT 207
WEST HOLLYWOOD CA
90069-4083
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-5098
  • Fax:
Mailing address:
  • Phone: 646-533-1794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number95194755
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: