Individual
CHRISTINE TIAN-I MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3000
(510) 547-2702
Mailing address
747 52ND ST, OAKLAND, CA 94609-1809
(510) 428-3000
(510) 547-2702
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A70097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A700970
—
CA
Enumeration date
08/31/2006
Last updated
01/10/2008
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