Provider Demographics
NPI:1790232635
Name:ZHENG-CASTRUITA, CRISTINA
Entity Type:Individual
Prefix:
First Name:CRISTINA
Middle Name:
Last Name:ZHENG-CASTRUITA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CRISTINA
Other - Middle Name:
Other - Last Name:ZHENG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:9308 BABAUTA RD
Mailing Address - Street 2:APT. 62
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-4922
Mailing Address - Country:US
Mailing Address - Phone:626-382-6981
Mailing Address - Fax:
Practice Address - Street 1:9308 BABAUTA RD
Practice Address - Street 2:APT. 62
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-4922
Practice Address - Country:US
Practice Address - Phone:626-382-6981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-08
Last Update Date:2016-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA292003174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist