Christine Arlene Pemberton in San Diego - Clinical
Christine Arlene Pemberton - NPI 1083716120
Christine Arlene Pemberton is a Clinical in San Diego, California. Christine Arlene Pemberton practices all healthcare services and medical treatments related to Clinical. The NPI Number for Christine Arlene Pemberton is 1083716120. The last update date is 2022-01-14.
Christine Arlene Pemberton's current location address is 3035 Myrtle Ave, San Diego, California. You can contact this provider via phone number 6193025899 and fax number 6195288054. The mailing address for Christine Arlene Pemberton is 3035 Myrtle Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christine Arlene Pemberton |
|---|---|
| Address | 3035 Myrtle Ave, San Diego, California |
| Phone Number | 6193025899 |
| Fax Number | 6195288054 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1083716120 |
|---|---|
| Provider Enumeration Date | 2006-09-01 |
| Last Updated Date | 2022-01-14 |
Provider Mailing Address Detail
| Address | 3035 Myrtle Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921044250 |
| Phone Number | 6193025899 |
| Fax Number | 6195288054 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS16760 |
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What is the unique 10-digit identifier code assigned to Christine Arlene Pemberton by the Centers for Medicare & Medicaid Services?
The Christine Arlene Pemberton has been issued the NPI (National Provider Identifier) 1083716120 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Christine Arlene Pemberton's physical address?
The Christine Arlene Pemberton is physically located at 3035 Myrtle Ave, in the city of San Diego, CA, with the postal code 921044250.
What is the Christine Arlene Pemberton's area of specialization and corresponding taxonomy classification?
The Christine Arlene Pemberton's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Christine Arlene Pemberton receive its 1083716120 assignment from the Centers for Medicare & Medicaid Services?
The Christine Arlene Pemberton was assigned its 1083716120 by the Centers for Medicare & Medicaid Services on 2006-09-01.
When was the information regarding Christine Arlene Pemberton most recently updated?
The details pertaining to the Christine Arlene Pemberton, including its address, specialty, and other relevant information, were last refreshed on 2022-01-14.