Provider Demographics
NPI:1407376304
Name:HYDE-TREUHAFT, CHRISTEN A (NP)
Entity Type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:A
Last Name:HYDE-TREUHAFT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1526 N EDGEMONT ST FL 7
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-5260
Mailing Address - Country:US
Mailing Address - Phone:323-783-8861
Mailing Address - Fax:323-783-0122
Practice Address - Street 1:1526 EDGEMONT ST.
Practice Address - Street 2:ICD CLINIC, 2ND FLOOR CARDIOLOGY
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027
Practice Address - Country:US
Practice Address - Phone:323-783-8861
Practice Address - Fax:323-783-0122
Is Sole Proprietor?:No
Enumeration Date:2017-06-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA383589207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology