Provider Demographics
NPI:1275512733
Name:PODRATZ, CHRISTOPHER WARREN (HS)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:WARREN
Last Name:PODRATZ
Suffix:
Gender:M
Credentials:HS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 APPLE WAY
Mailing Address - Street 2:
Mailing Address - City:TEHACHAPI
Mailing Address - State:CA
Mailing Address - Zip Code:93561-1846
Mailing Address - Country:US
Mailing Address - Phone:661-823-0267
Mailing Address - Fax:661-823-0267
Practice Address - Street 1:1001 S SEASIDE AVE
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90731-7333
Practice Address - Country:US
Practice Address - Phone:310-732-7319
Practice Address - Fax:310-732-7519
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other