MEDICARE: MRS. CHRISTINA MARIE BROCK M.S.

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	170300000X	Genetic Counselor (M.S.)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2005036	OTHER		ABGC CERTIFICATE NUMBER

General Provider Information

NPI Number	:	1821029414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINA MARIE BROCK M.S.

Provider Business Mailing Address
First Line	:	9350 CAMPUS POINT DR, 2D
Second Line	:	#0996
City	:	SAN DIEGO
State	:	CA
Zip	:	92037-1300
Country	:	US
Telephone Number	:	858-657-7216
Fax Number	:	858-657-7201

Provider Business Practice Location Address
First Line	:	9350 CAMPUS POINT DR, 2D
Second Line	:	#0996
City	:	SAN DIEGO
State	:	CA
Zip	:	92037-1300
Country	:	US
Telephone Number	:	858-657-7216
Fax Number	:	858-657-7201

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

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1801159611 — TAHA GHOLIPOUR MD
Practice Location Address:

9350 CAMPUS POINT DR
SAN DIEGO, CA
92037-1300

Practice Phone: 858-657-7000
Practice Fax:

1831108786 — MR. JOSE G GANCAYCO RN
Practice Location Address:

9888 GENESEE AVE.
SAN DIEGO, CA
92037

Practice Phone: 858-678-7000
Practice Fax:

1275642175 — DR. DAVID K. WELSH M.D.
Practice Location Address:

3350 LA JOLLA VILLAGE DR , VA SAN DIEGO HEALTHCARE SYSTEM, PSYCHIATRY, V-116A
LA JOLLA, CA
92037-1806

Practice Phone: 858-552-7412
Practice Fax:

1548467145 — MRS. RENEE BISHOP CNM
Practice Location Address:

9333 GENESEE AVE , SUITE 170
SAN DIEGO, CA
92037

Practice Phone: 858-882-8350
Practice Fax: 858-882-8383

1154528008 — MR. ROBERT A BARKER R.R.T.
Practice Location Address:

VA SAN DIEGO HEALTH CARE SYSTEM , 3350 LA JOLLA VILLAGE DR
LA JOLLA, CA
92037-9779

Practice Phone: 858-552-8585
Practice Fax:

1417108101 — DR MICHAEL L. REYNOLDS DDS INC
Practice Location Address:

7742 HERSCHEL AVE , STE. I
SAN DIEGO, CA
92037-4444

Practice Phone: 858-454-9991
Practice Fax:

Directions to “ MRS. CHRISTINA MARIE BROCK M.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.