| Christine D Forest, M.d. Inc. | |
|
116 N Robertson Blvd Ste 907 Los Angeles CA 90048-3112 | |
| (310) 358-9499 | |
| (310) 358-9409 |
| Full Name | Christine D Forest, M.d. Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 116 N Robertson Blvd Ste 907, Los Angeles, California |
| Authorized Official Name and Position | Christine D Forest (PRESIDENT) |
| Authorized Official Contact | 3103589499 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine D Forest, M.d. Inc. 13563 Via San Remo Chino Hills CA 91709-1350 Ph: (909) 465-9949 | Christine D Forest, M.d. Inc. 116 N Robertson Blvd Ste 907 Los Angeles CA 90048-3112 Ph: (310) 358-9499 |
| NPI Number | 1275704074 |
|---|---|
| Provider Enumeration Date | 03/19/2008 |
| Last Update Date | 03/19/2008 |
| Medicare PECOS PAC ID | 9335191014 |
|---|---|
| Medicare Enrollment ID | O20050210001018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275704074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A72375 (California) | Primary |
| Provider Name | Christine D Forest |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407869431 PECOS PAC ID: 2062464746 Enrollment ID: I20050212000031 |
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