Provider Demographics
NPI:1558990119
Name:CO, CHRISTOPHER K (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:K
Last Name:CO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4234 RIVERWALK PKWY STE 120
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-3304
Mailing Address - Country:US
Mailing Address - Phone:510-816-7295
Mailing Address - Fax:
Practice Address - Street 1:4234 RIVERWALK PKWY STE 120
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-3304
Practice Address - Country:US
Practice Address - Phone:951-373-5800
Practice Address - Fax:951-344-8303
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CA21897208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program