Individual
CHRISTOPHER JAMES BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
6201 WHITTIER BLVD, EAST LOS ANGELES, CA 90022
(323) 728-7232
Mailing address
970 E SAGEBANK ST, CARSON, CA 90746-1663
(310) 404-1984
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10170239
CA
Other
Enumeration date
10/16/2017
Last updated
07/22/2018
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