Provider Demographics
NPI:1356960751
Name:SNIDER, CHRISTINA A
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:A
Last Name:SNIDER
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 1:3855 HEALTH SCIENCES DR # 829
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92093-0829
Mailing Address - Country:US
Mailing Address - Phone:858-657-5281
Mailing Address - Fax:858-657-5348
Practice Address - Street 1:3855 HEALTH SCIENCES DR # 829
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92093-0829
Practice Address - Country:US
Practice Address - Phone:858-657-5281
Practice Address - Fax:858-657-5348
Is Sole Proprietor?:No
Enumeration Date:2020-04-15
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA187140207R00000X, 207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine