Provider Demographics
NPI:1164812970
Name:CONTRERAS, CHRISTY ERIN (LAC)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ERIN
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:751 KELLY ST
Mailing Address - Street 2:
Mailing Address - City:HALF MOON BAY
Mailing Address - State:CA
Mailing Address - Zip Code:94019-1918
Mailing Address - Country:US
Mailing Address - Phone:650-726-2900
Mailing Address - Fax:650-276-3189
Practice Address - Street 1:751 KELLY ST
Practice Address - Street 2:
Practice Address - City:HALF MOON BAY
Practice Address - State:CA
Practice Address - Zip Code:94019-1918
Practice Address - Country:US
Practice Address - Phone:650-726-2900
Practice Address - Fax:650-276-3189
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-01
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16337171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist