Provider Demographics
NPI:1760944581
Name:ZACHEK, CHRISTINE (MD MPH)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:ZACHEK
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9300 CAMPUS POINT DR
Mailing Address - Street 2:MC 7433
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-7433
Mailing Address - Country:US
Mailing Address - Phone:858-543-7878
Mailing Address - Fax:858-543-5350
Practice Address - Street 1:9300 CAMPUS POINT DR
Practice Address - Street 2:MC 7433
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-7433
Practice Address - Country:US
Practice Address - Phone:858-543-7878
Practice Address - Fax:858-543-5350
Is Sole Proprietor?:No
Enumeration Date:2019-04-01
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA2693207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program