Provider Demographics
NPI:1982745683
Name:ALONZO, CRISTINA M (MD)
Entity Type:Individual
Prefix:DR
First Name:CRISTINA
Middle Name:M
Last Name:ALONZO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5600 AVENIDA DEL TREN
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-4901
Mailing Address - Country:US
Mailing Address - Phone:714-309-3121
Mailing Address - Fax:713-485-2003
Practice Address - Street 1:5600 AVENIDA DEL TREN
Practice Address - Street 2:
Practice Address - City:YORBA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92887-4901
Practice Address - Country:US
Practice Address - Phone:714-309-3121
Practice Address - Fax:713-485-2003
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA7792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA44671Medicare ID - Type Unspecified