Provider Demographics
NPI:1750350252
Name:WON, CHRISTINE K (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:K
Last Name:WON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:950 S ARROYO PKWY STE 240
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3930
Mailing Address - Country:US
Mailing Address - Phone:626-793-8455
Mailing Address - Fax:626-795-0475
Practice Address - Street 1:950 S ARROYO PKWY STE 240
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3930
Practice Address - Country:US
Practice Address - Phone:626-793-8455
Practice Address - Fax:626-795-0475
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG075111207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF81918Medicare UPIN
CAW14416Medicare ID - Type Unspecified