Provider Demographics
NPI:1619101276
Name:MORA, CHRISTINA N (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:N
Last Name:MORA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CHRISTINA
Other - Middle Name:N
Other - Last Name:BLOCH MORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5821 JAMESON CT
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-0890
Mailing Address - Country:US
Mailing Address - Phone:916-486-0411
Mailing Address - Fax:
Practice Address - Street 1:1415 N HOUK RD STE A
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216-1043
Practice Address - Country:US
Practice Address - Phone:509-924-1990
Practice Address - Fax:509-232-3059
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-12
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA120255207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology