Provider Demographics
NPI:1194134510
Name:SCHULTZ, CHRISTIE LYNN
Entity type:Individual
Prefix:MRS
First Name:CHRISTIE
Middle Name:LYNN
Last Name:SCHULTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CHRISTIE
Other - Middle Name:LYNN
Other - Last Name:OSBORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18302 IRVINE BLVD
Mailing Address - Street 2:#300
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3435
Mailing Address - Country:US
Mailing Address - Phone:714-957-1004
Mailing Address - Fax:714-957-1065
Practice Address - Street 1:18302 IRVINE BLVD
Practice Address - Street 2:#300
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3435
Practice Address - Country:US
Practice Address - Phone:714-957-1004
Practice Address - Fax:714-957-1065
Is Sole Proprietor?:No
Enumeration Date:2014-08-11
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247000000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Health Information