Provider Demographics
NPI:1437322070
Name:PARKER, CHRISTOPHER STEVEN (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:STEVEN
Last Name:PARKER
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 1:1042 N EL CAMINO REAL STE B
Mailing Address - Street 2:#116
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-1322
Mailing Address - Country:US
Mailing Address - Phone:678-777-1505
Mailing Address - Fax:
Practice Address - Street 1:1042 N EL CAMINO REAL STE B
Practice Address - Street 2:#116
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-1322
Practice Address - Country:US
Practice Address - Phone:678-777-1505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-03
Last Update Date:2008-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG18200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine