Cristantiello, Philip

Cristantiello, Philip is an individual health care provider with primary practice located at 16730 Arrow Blvd , Fontana CA 92335-3802. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Cristantiello, Philip can be contacted via phone (909) 854-4020.

Contact Information

Primary practice address
16730 Arrow Blvd Fontana CA 92335-3802
Fax: (909) 854-4091
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1881883668
LBN Legal business name Cristantiello, Philip
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Oct 17th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881883668 NPPES
California MEDICAID 5555

Popular Providers