Provider Demographics
NPI:1982859138
Name:RASH, CRIS LOUISE
Entity Type:Individual
Prefix:MRS
First Name:CRIS
Middle Name:LOUISE
Last Name:RASH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8811 GERALDINE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-2912
Mailing Address - Country:US
Mailing Address - Phone:858-277-5475
Mailing Address - Fax:
Practice Address - Street 1:8811 GERALDINE AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2912
Practice Address - Country:US
Practice Address - Phone:858-277-5475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2008-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAT6790282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital