Individual
DR. CHRISTINE Y MOUTIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 92161-0002
(858) 534-1884
(858) 534-8556
Mailing address
9500 GILMAN DRIVE MTF ROOM 180, LA JOLLA, CA 92093
(858) 534-1884
(858) 534-8556
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A61688
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A61688
—
CA
Enumeration date
09/05/2006
Last updated
07/08/2007
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