MEDICARE: DR. CHRISTINA LE-SHORT M.D.

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	C201438	CA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	25MA11651800	NJ
3	207LP2900X	Pain Medicine (Anesthesiology) Physician	319616	NY
4	207LP2900X	Pain Medicine (Anesthesiology) Physician	Q4173	TX

General Provider Information

NPI Number	:	1932499423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINA LE-SHORT M.D.

Provider Business Mailing Address
First Line	:	PO BOX 276950
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95827-6950
Country	:	US
Telephone Number	:	650-934-7440
Fax Number	:

Provider Business Practice Location Address
First Line	:	41 WILLOWEND DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77024-7631
Country	:	US
Telephone Number	:	504-669-3480
Fax Number	:

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

Provider Enumeration Date	:	04/18/2011
Last Update Date	:	10/24/2025

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