Provider Demographics
NPI:1831901792
Name:DR CAROLINE Z KRISTO PHD
Entity type:Organization
Organization Name:DR CAROLINE Z KRISTO PHD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:Z
Authorized Official - Last Name:KRISTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-800-1629
Mailing Address - Street 1:30895 SNOWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-2385
Mailing Address - Country:US
Mailing Address - Phone:909-800-1629
Mailing Address - Fax:951-696-7292
Practice Address - Street 1:702B LANGFORD LAKE RD
Practice Address - Street 2:
Practice Address - City:FORT IRWIN
Practice Address - State:CA
Practice Address - Zip Code:92310-1474
Practice Address - Country:US
Practice Address - Phone:951-923-4350
Practice Address - Fax:951-696-7292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty