Individual
TIMOTHY S KRISTEDJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 SANTA MONICA BLVD STE 560W, SANTA MONICA, CA 90404-2182
(310) 453-5654
(310) 453-6885
Mailing address
2477 WALNUT AVE, VENICE, CA 90291-5018
(626) 367-2824
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A108522
CA
Other
Enumeration date
06/09/2007
Last updated
01/22/2024
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