Provider Demographics
NPI:1780557512
Name:ARMENTA, CHRIST II (DPT)
Entity type:Individual
Prefix:DR
First Name:CHRIST
Middle Name:
Last Name:ARMENTA
Suffix:II
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 1:209 N KODIAK ST APT B
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-2616
Mailing Address - Country:US
Mailing Address - Phone:949-590-9350
Mailing Address - Fax:
Practice Address - Street 1:111 FASHION LN STE 210
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3306
Practice Address - Country:US
Practice Address - Phone:949-590-9350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-26
Last Update Date:2025-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT308428225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty