Individual
DR. CHRISTOPHER LEE METCHNIKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14445 OLIVE VIEW DR # 2B-182, SYLMAR, CA 91342-1437
(747) 210-3205
(747) 210-4573
Mailing address
1000 W. CARSON STREET, BOX 400, TORRANCE, CA 90509-2910
(310) 222-2401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A129294
CA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
A129294
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
A129294
CA
Other
Enumeration date
08/09/2012
Last updated
12/19/2019
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