Provider Demographics
NPI:1619452463
Name:ASINERO, CHRISTIAN NOEL (DPT)
Entity type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:NOEL
Last Name:ASINERO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2651 IRVINE AVE STE 128
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-4649
Mailing Address - Country:US
Mailing Address - Phone:949-722-8811
Mailing Address - Fax:
Practice Address - Street 1:2651 IRVINE AVE STE 128
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627
Practice Address - Country:US
Practice Address - Phone:949-722-8811
Practice Address - Fax:949-722-9911
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PT295622225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist