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NPI Code Detail

MEDICARE: CHRISTOS KALATZIS MD

MEDICARE:   CHRISTOS  KALATZIS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianA40074CA

General Provider Information

NPI Number : 1154319754
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOS KALATZIS MD
Provider Business Mailing Address
First Line : PO BOX 2757
Second Line :
City : ORANGE
State : CA
Zip : 92859-0757
Country : US
Telephone Number : 714-973-2650
Fax Number : 714-973-2655
Provider Business Practice Location Address
First Line : 2601 E CHAPMAN AVE
Second Line :
City : ORANGE
State : CA
Zip : 92869-3206
Country : US
Telephone Number : 714-633-0011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2005
Last Update Date : 06/26/2009

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Directions to “ CHRISTOS KALATZIS MD” Practice Location

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