Doctor Name: | CHRISTEN WEBER |
NPI Number: | 1619395506 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 129458 |
Business Practice Address: | 1431 N Altadena Dr Pasadena, CA - 911071434 |
Business Phone Number: | 9062811084 |
Business Fax Number: | |
Mailing Address: | 1431 N Altadena Dr, PASADENA |
State: | CA |
Postal Code: | 911071434 |
Phone Number: | 9062811084 |
Fax Number: | |
NPI Enumeration Date: | 03/28/2014 |
NPI Last Update Date: | 03/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 129458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |