Individual
CHRISTY S. WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
43807 10TH ST W STE D, LANCASTER, CA 93534-4805
(661) 575-9365
Mailing address
2420 TORREY PINES RD UNIT B204, LA JOLLA, CA 92037-3427
(916) 300-0335
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G52864
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G528640
—
CA
Enumeration date
01/12/2007
Last updated
07/02/2021
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