MEDICARE: CHRISTIAN PALIANGAYAN

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	171M00000X	Case Manager/Care Coordinator	CA
2	390200000X	Student in an Organized Health Care Education/Training Program	CA
3	225400000X	Rehabilitation Practitioner	CA

General Provider Information

NPI Number	:	1275112955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTIAN PALIANGAYAN

Provider Business Mailing Address
First Line	:	3491 KURTZ ST STE 150
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-4430
Country	:	US
Telephone Number	:	619-332-5830
Fax Number	:	619-810-2313

Provider Business Practice Location Address
First Line	:	3491 KURTZ ST STE 150
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92110-4430
Country	:	US
Telephone Number	:	619-332-5830
Fax Number	:	619-810-2313

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2021
Last Update Date	:	05/26/2026

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Directions to “ CHRISTIAN PALIANGAYAN ” Practice Location

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