Individual
CHRISTOS THEOPHANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
795 EL CAMINO REAL, PALO ALTO, CA 94301-2302
(650) 853-2974
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 853-2974
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A174037
CA
Other
Enumeration date
04/04/2016
Last updated
09/29/2021
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