Provider Demographics
NPI:1881951127
Name:DJAPRI, CHRISTINE MELIANI
Entity type:Individual
Prefix:MISS
First Name:CHRISTINE
Middle Name:MELIANI
Last Name:DJAPRI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:DJAPRI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3440 LOMITA BLVD STE 346
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4820
Mailing Address - Country:US
Mailing Address - Phone:310-325-1198
Mailing Address - Fax:
Practice Address - Street 1:3440 LOMITA BLVD STE 346
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4820
Practice Address - Country:US
Practice Address - Phone:310-325-1198
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-11
Last Update Date:2016-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA138533207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology