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NPI Code Detail

MEDICARE: DR. JOHN A CHRISTIANSON V ND

MEDICARE:  DR. JOHN A CHRISTIANSON V ND
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
1175F00000XNaturopathND818CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1818OTHERCANATUROPATHIC DOCTOR

General Provider Information

NPI Number : 1790060895
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN A CHRISTIANSON V ND
Provider Business Mailing Address
First Line : 550 W DATE ST APT 712
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-2764
Country : US
Telephone Number : 612-532-7895
Fax Number : 619-860-1272
Provider Business Practice Location Address
First Line : 501 W BROADWAY STE A266
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-3536
Country : US
Telephone Number : 619-241-4452
Fax Number : 619-860-1272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2011
Last Update Date : 01/30/2022

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Directions to “ DR. JOHN A CHRISTIANSON V ND” Practice Location

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