Provider Demographics
NPI:1063568871
Name:CALZADILLA, CHRISTINA LEE (MA, MFT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:LEE
Last Name:CALZADILLA
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:LEE
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, MFT
Mailing Address - Street 1:3333 SKYPARK DR STE 220
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5035
Mailing Address - Country:US
Mailing Address - Phone:310-257-5769
Mailing Address - Fax:310-257-5753
Practice Address - Street 1:3333 SKYPARK DR STE 220
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5035
Practice Address - Country:US
Practice Address - Phone:310-257-5769
Practice Address - Fax:310-257-5753
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC42797106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist