Individual
CAMERON CHRISTIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1040 W IMPERIAL HWY, LA HABRA, CA 90631-0608
(714) 451-1072
Mailing address
1040 W IMPERIAL HWY, LA HABRA, CA 90631-0608
(714) 451-1072
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
57596
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
57596
CALIFORNIA PHYSICIAN ASSISTANT LICENSE NUMBER
CA
Enumeration date
10/10/2018
Last updated
11/30/2021
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