Provider Demographics
NPI:1902787922
Name:TAPIA, KRISTIN NOEL
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:NOEL
Last Name:TAPIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:69315 MCCALLUM WAY
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-2934
Mailing Address - Country:US
Mailing Address - Phone:323-246-5453
Mailing Address - Fax:
Practice Address - Street 1:69315 MCCALLUM WAY
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-2934
Practice Address - Country:US
Practice Address - Phone:909-552-5131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker