Provider Demographics
NPI:1417369935
Name:LE, CHRISTINA SEJERSEN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:SEJERSEN
Last Name:LE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:SEJERSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:8473 WARDEN LN
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92127-6142
Mailing Address - Country:US
Mailing Address - Phone:619-742-0009
Mailing Address - Fax:
Practice Address - Street 1:301 UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-3008
Practice Address - Country:US
Practice Address - Phone:619-325-0423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA68361183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist