Cannavino, Christopher Ray

Cannavino, Christopher Ray is an individual health care provider with primary practice located at 3030 Childrens Way , San Diego CA 92123-4232. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, which is considered as his primary health care specialty. Cannavino, Christopher Ray can be contacted via phone (858) 966-7785.

Contact Information

Primary practice address
3030 Childrens Way San Diego CA 92123-4232
Phone: (858) 966-7785
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X A86636 California

Profile Details

NPI number 1831260595
LBN Legal business name Cannavino, Christopher Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Feb 24th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831260595 NPPES
California MEDICAID 00A866360

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