Basic Information
Provider Information
NPI: 1457674525
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ACUNA
FirstName: CHRISTINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: UCSF M691
Address2: 505 PARNASSUS AVE, BOX 0110
City: SAN FRANCISCO
State: CA
PostalCode: 941430001
CountryCode: US
TelephoneNumber: 4154766245
FaxNumber: 4154761757
Practice Location
Address1: UCSF M691
Address2: 505 PARNASSUS AVE, BOX 0110
City: SAN FRANCISCO
State: CA
PostalCode: 941430001
CountryCode: US
TelephoneNumber: 4154766245
FaxNumber: 4154761757
Other Information
ProviderEnumerationDate: 03/03/2010
LastUpdateDate: 06/14/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000XA115624CAY Allopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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