Provider Demographics
NPI:1275144289
Name:CALO, CHRISTIAN JOSEPH OLALIA
Entity Type:Individual
Prefix:
First Name:CHRISTIAN JOSEPH
Middle Name:OLALIA
Last Name:CALO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2214 CORMORANT DR
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:94533-2541
Mailing Address - Country:US
Mailing Address - Phone:707-319-9456
Mailing Address - Fax:
Practice Address - Street 1:2214 CORMORANT DR
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CA
Practice Address - Zip Code:94533-2541
Practice Address - Country:US
Practice Address - Phone:707-319-9456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42071227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered