MEDICARE: DR. COLIN CARE CHRISTENSEN D.O.

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
1	207Q00000X	Family Medicine Physician	20A10530	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ31887Z	OTHER	CA	SITE PTAN

General Provider Information

NPI Number	:	1518118298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COLIN CARE CHRISTENSEN D.O.

Provider Business Mailing Address
First Line	:	PO BOX 35380
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89133-5380
Country	:	US
Telephone Number	:	702-579-3203
Fax Number	:

Provider Business Practice Location Address
First Line	:	22635 ALESSANDRO BLVD STE A
Second Line	:
City	:	MORENO VALLEY
State	:	CA
Zip	:	92553-8550
Country	:	US
Telephone Number	:	951-242-2226
Fax Number	:	951-242-8969

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

Provider Enumeration Date	:	10/01/2008
Last Update Date	:	11/15/2025

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Directions to “ DR. COLIN CARE CHRISTENSEN D.O.” Practice Location

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