Provider Demographics
NPI:1154353951
Name:CHRISTIAN, DAVID B (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:CHRISTIAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:500 OLD RIVER RD STE 145
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-9509
Mailing Address - Country:US
Mailing Address - Phone:661-664-0434
Mailing Address - Fax:661-664-0432
Practice Address - Street 1:500 OLD RIVER RD STE 145
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-9509
Practice Address - Country:US
Practice Address - Phone:661-664-0434
Practice Address - Fax:661-664-0432
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA77665207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
260084014OtherTAX IDENTIFICATION NUMBER
CAA77665OtherSTATE MEDICAL LICENSE
CABC7450036OtherDRUG ENFORCEMENT AGENCY
H50607Medicare UPIN
260084014OtherTAX IDENTIFICATION NUMBER