Provider Demographics
NPI:1881473890
Name:GARI, CHRISTIANA ROSE
Entity type:Individual
Prefix:
First Name:CHRISTIANA
Middle Name:ROSE
Last Name:GARI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 SAND HILL RD APT 205
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-2044
Mailing Address - Country:US
Mailing Address - Phone:805-390-6809
Mailing Address - Fax:
Practice Address - Street 1:5021 READ RD
Practice Address - Street 2:
Practice Address - City:MOORPARK
Practice Address - State:CA
Practice Address - Zip Code:93021-8766
Practice Address - Country:US
Practice Address - Phone:805-390-6809
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant