DR. CHRISTOPHER MATHIAS GUNAWAN MD NPI 1104355049

NPI Information

NPI: 1104355049
Provider Name: DR. CHRISTOPHER MATHIAS GUNAWAN, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA
ZIP 98431
Phone: (253) 968-0020
Get Directions

DR. Christopher Mathias Gunawan, MD is a pediatrics in Joint Base Lewis Mcchord, WA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Christopher Mathias Gunawan, MD NPI is 1104355049. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9040A JACKSON AVE
JOINT BASE LEWIS MCCHORD, WA
ZIP 98431-060
Phone: (253) 968-0020
Fax: (253) 968-0384

The enumeration date for this NPI number is 6/5/2017 and was last updated on 8/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	171000000X	Military Health Care Provider	A157790	CALIFORNIA	No
2	208D00000X	General Practice	A157790	CALIFORNIA	No
3	208000000X	Pediatrics	A157790	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	VAD000	OTHER		MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »