Provider Demographics
NPI:1639409329
Name:HROUNTAS, CHRISTINE KATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:KATHERINE
Last Name:HROUNTAS
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 1:1303 AVENIDA DE VERDES
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-9466
Mailing Address - Country:US
Mailing Address - Phone:949-388-4173
Mailing Address - Fax:949-388-4173
Practice Address - Street 1:1303 AVENIDA DE VERDES
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-9466
Practice Address - Country:US
Practice Address - Phone:949-388-4173
Practice Address - Fax:949-388-4173
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-03
Last Update Date:2010-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG50417207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology