Individual
DR. CHRISTIAN ISRAEL GARAYCOCHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
322 KAREN AVE, UNIT 1207, LAS VEGAS, NV 89109-0412
(801) 368-0468
(801) 880-3841
Mailing address
3153 E WARM SPRINGS RD #300, LAS VEGAS, NV 89120
(702) 487-6510
(702) 405-7960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13797
NV
207L00000X
Anesthesiology Physician
A90223
CA
208D00000X
General Practice Physician
A90223
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A902230
BLUE SHIELD OF CALIFORNIA
CA
05
—
00A902230
—
CA
Enumeration date
03/22/2007
Last updated
02/05/2015
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