Provider Demographics
NPI:1396354510
Name:PANALIGAN, CHRISTIAN (CRNA)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:
Last Name:PANALIGAN
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:CHRISTIAN PAUL
Other - Middle Name:CORDA
Other - Last Name:PANALIGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:4652 N HOLT AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93705-0824
Mailing Address - Country:US
Mailing Address - Phone:408-771-4775
Mailing Address - Fax:
Practice Address - Street 1:400 W MINERAL KING AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93291-6237
Practice Address - Country:US
Practice Address - Phone:559-624-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95001391367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered