Provider Demographics
NPI:1679726566
Name:ZAFFINA, KRISTINE HUN (DPT)
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:HUN
Last Name:ZAFFINA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30400 CAMINO CAPISTRANO
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN CAPISTRANO
Mailing Address - State:CA
Mailing Address - Zip Code:92675-1300
Mailing Address - Country:US
Mailing Address - Phone:949-234-2046
Mailing Address - Fax:
Practice Address - Street 1:30400 CAMINO CAPISTRANO
Practice Address - Street 2:
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675-1300
Practice Address - Country:US
Practice Address - Phone:949-234-2046
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-23
Last Update Date:2021-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60054898225100000X
CAPT 37814225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP00716319OtherRAILROAD MEDICARE
WA0245323OtherDEPT L&I
WA8532525OtherDSHS
WA8950440OtherCRIME VICTIMS
WA0245317OtherDEPT L&I
WA8950439OtherCRIME VICTIMS
WA8838HUOtherREGENCE
WAP00716319OtherRAILROAD MEDICARE
WAG8879058Medicare PIN
WA8950439OtherCRIME VICTIMS