1609941525 NPI number — CHRISTINA PABERS MA TCM LAC, PHD

Table of content: CHRISTINA PABERS MA TCM LAC, PHD (NPI 1609941525)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609941525 NPI number — CHRISTINA PABERS MA TCM LAC, PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PABERS
Provider First Name:
CHRISTINA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA TCM LAC, PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609941525
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/11/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
215 DAILY DRIVE
Provider Second Line Business Mailing Address:
12
Provider Business Mailing Address City Name:
CAMARILLO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93010
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-383-0636
Provider Business Mailing Address Fax Number:
805-384-9091

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
215 E DAILY DR
Provider Second Line Business Practice Location Address:
12
Provider Business Practice Location Address City Name:
CAMARILLO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93010-5805
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-383-0636
Provider Business Practice Location Address Fax Number:
805-384-9091
Provider Enumeration Date:
11/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  AC6865 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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