Provider Demographics
NPI:1073705034
Name:CAMPBELL, CHRISTOPHER ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:ALEXANDER
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:656 7TH ST
Mailing Address - Street 2:
Mailing Address - City:HERMOSA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90254-4705
Mailing Address - Country:US
Mailing Address - Phone:310-293-8170
Mailing Address - Fax:
Practice Address - Street 1:1450 SAN PABLO ST STE 2000
Practice Address - Street 2:UNIVERSITY OF SOUTHERN CALIFORNIA PLASTIC SURGERY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-4680
Practice Address - Country:US
Practice Address - Phone:323-442-6457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA95417208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery