Provider Demographics
NPI:1518958495
Name:KUIDA, CHRISTINE AIKO (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:AIKO
Last Name:KUIDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 DEEP VALLEY DR
Mailing Address - Street 2:SUITE 255
Mailing Address - City:ROLLING HILLS ESTATES
Mailing Address - State:CA
Mailing Address - Zip Code:90274-3808
Mailing Address - Country:US
Mailing Address - Phone:310-541-9511
Mailing Address - Fax:310-541-9535
Practice Address - Street 1:927 DEEP VALLEY DR
Practice Address - Street 2:SUITE 255
Practice Address - City:ROLLING HILLS ESTATES
Practice Address - State:CA
Practice Address - Zip Code:90274-3808
Practice Address - Country:US
Practice Address - Phone:310-541-9511
Practice Address - Fax:310-541-9535
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG63557207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G63557Medicare ID - Type Unspecified
F36711Medicare UPIN