Individual provider · NPI-1
Cameron Christie, PA-C
Physician Assistant · La Habra, CA
NPI number1053886697
StatusActive
Last updated in NPPESNov 30, 2021
Details
- NPI
- 1053886697
- Entity type
- Individual (NPI-1)
- Name
- Cameron Christie
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 10, 2018
- Certification date
- Nov 30, 2021
- Last updated
- Nov 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 57596 | CA | Yes |
Practice location
1040 W Imperial HwyLa Habra, CA 90631-0608
Phone 714-451-1072
Mailing address
1040 W Imperial HwyLa Habra, CA 90631-0608
Phone 714-451-1072
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