Most Relevant Information
Provider Data
| NPI Number: | 1003436528 |
| Provider Name: | CHRISTIAN KARL ANTONIO |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 700718 |
Most Important Dates
| Enumeration Date: | 04/24/2020 |
| Last Updated: | 04/16/2024 |
Provider Practice Location
505 PARNASSUS AVENNUE
SAN FRANCISCO
CA
94143
Practice Location Phone/Fax
| Phone: | 4153531621 |
| Fax: |
Provider Mailing Location
505 PARNASSUS AVE
SAN FRANCISCO
CA
941432204
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |