Provider Demographics
NPI:1598707192
Name:MINK, CHRISANNA M (MD)
Entity Type:Individual
Prefix:
First Name:CHRISANNA
Middle Name:M
Last Name:MINK
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Gender:F
Credentials:MD
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Mailing Address - Street 1:21840 NORMANDIE AVE
Mailing Address - Street 2:STE. 1100
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2047
Mailing Address - Country:US
Mailing Address - Phone:310-222-5133
Mailing Address - Fax:310-781-9352
Practice Address - Street 1:21840 NORMANDIE AVE
Practice Address - Street 2:STE. 1100
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2047
Practice Address - Country:US
Practice Address - Phone:310-222-5133
Practice Address - Fax:310-781-9352
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-11
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG602442080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases