Provider Demographics
NPI:1831670611
Name:CARA, CHRISTOPHER BRYAN
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:BRYAN
Last Name:CARA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 8TH ST STE 309
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94607-4253
Mailing Address - Country:US
Mailing Address - Phone:510-465-9876
Mailing Address - Fax:
Practice Address - Street 1:3961 HORNER ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-2515
Practice Address - Country:US
Practice Address - Phone:510-487-8552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-28
Last Update Date:2018-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker