Individual
CHRISTINA XIQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3580 WILSHIRE BLVD STE 2000, LOS ANGELES, CA 90010-2533
(213) 381-1250
Mailing address
3580 WILSHIRE BLVD STE 2000, LOS ANGELES, CA 90010-2533
(213) 381-1250
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225400000X
—
CA
Enumeration date
08/13/2018
Last updated
09/05/2023
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