| Doctor Name: | DR. CHRISTIAN ISRAEL GARAYCOCHEA |
| NPI Number: | 1104942887 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | A90223 |
| Business Practice Address: | 322 Karen Ave Unit 1207 Las Vegas, NV - 891090412 |
| Business Phone Number: | 8013680468 |
| Business Fax Number: | 8018803841 |
| Mailing Address: | 3153 E Warm Springs Rd #300, LAS VEGAS |
| State: | NV |
| Postal Code: | 89120 |
| Phone Number: | 7024876510 |
| Fax Number: | 7024057960 |
| NPI Enumeration Date: | 03/22/2007 |
| NPI Last Update Date: | 02/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A90223 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |