Provider Demographics
NPI:1669857736
Name:BAKER, CHRISTINE MARIE (CPT 1, RMA (AMT))
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARIE
Last Name:BAKER
Suffix:
Gender:F
Credentials:CPT 1, RMA (AMT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3832 HOWARD AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90720-3626
Mailing Address - Country:US
Mailing Address - Phone:562-810-6828
Mailing Address - Fax:
Practice Address - Street 1:3832 HOWARD AVE APT 1
Practice Address - Street 2:
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3626
Practice Address - Country:US
Practice Address - Phone:562-810-6828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACPT00050184246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy