Provider Demographics
NPI:1649977893
Name:HORNEY, CHRISTINA (RDN)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:HORNEY
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:THIEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN
Mailing Address - Street 1:19162 HOLLY LN APT D
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-6219
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19162 HOLLY LN APT D
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-6219
Practice Address - Country:US
Practice Address - Phone:714-615-4889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered