Basic Information
| Provider Information | |||||||||
| NPI: | 1225491293 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KRAUS | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | NICOLE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | UC IRVINE HEALTH 118 MEDICAL SURGE 1 | ||||||||
| Address2: | |||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926970001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9498244405 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | UC IRVINE HEALTH 118 MED SURG 1 | ||||||||
| Address2: | |||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926973017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9498244405 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/29/2016 | ||||||||
| LastUpdateDate: | 09/22/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/22/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207N00000X | A150386 | CA | Y | Allopathic & Osteopathic Physicians | Dermatology |
No ID Information.