Provider Demographics
NPI:1033776075
Name:AREFIEVA, CHRISTA ANN LANDOWSKA (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTA
Middle Name:ANN LANDOWSKA
Last Name:AREFIEVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTA
Other - Middle Name:ANN
Other - Last Name:LANDOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 720772
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92172-0772
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5555 GROSSMONT CENTER DR
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-3019
Practice Address - Country:US
Practice Address - Phone:619-740-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-24
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4351045065207P00000X
CAPTL3238207P00000X
CAA179084207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine