Provider Demographics
NPI:1760635726
Name:LEIGH, CHRISTINA ANDRADE (MAOM, LAC, DIPLAC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:ANDRADE
Last Name:LEIGH
Suffix:
Gender:F
Credentials:MAOM, LAC, DIPLAC
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:A
Other - Last Name:BALANGUE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MAOM, LAC, DIPLAC
Mailing Address - Street 1:539 WILLOWSPRING DR S
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4104
Mailing Address - Country:US
Mailing Address - Phone:858-245-1817
Mailing Address - Fax:
Practice Address - Street 1:1054 2ND ST
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-5009
Practice Address - Country:US
Practice Address - Phone:760-383-1460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12791171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist