Provider Demographics
NPI:1942599642
Name:HALL, CHRISTINE MARIA (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:MARIA
Last Name:HALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RONALD REAGAN UCLA MEDICAL CENTER DEPT
Mailing Address - Street 2:757 WESTWOOD PLZ STE 3304
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90095-7403
Mailing Address - Country:US
Mailing Address - Phone:661-670-7103
Mailing Address - Fax:
Practice Address - Street 1:RONALD REAGAN UCLA MEDICAL CENTER DEPT
Practice Address - Street 2:757 WESTWOOD PLZ STE 3304
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-7403
Practice Address - Country:US
Practice Address - Phone:661-670-7103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program