Doctor Name: | DR. CHRISTOPHER K TINER |
NPI Number: | 1720095235 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A87203 |
Business Practice Address: | 1044 S Fair Oaks Ave Suite 101 Pasadena, CA - 911052622 |
Business Phone Number: | 6264494859 |
Business Fax Number: | 6264030311 |
Mailing Address: | 8920 Wilshire Blvd, Suite 103 BEVERLY HILLS |
State: | CA |
Postal Code: | 902112007 |
Phone Number: | 3103609245 |
Fax Number: | 3103609246 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 10/15/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A87203 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |