Provider Demographics
NPI:1437941069
Name:KRISTINE MACHADO LLC
Entity type:Organization
Organization Name:KRISTINE MACHADO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MACHADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-269-6796
Mailing Address - Street 1:1254 COTTONWOOD ST
Mailing Address - Street 2:
Mailing Address - City:TULARE
Mailing Address - State:CA
Mailing Address - Zip Code:93274-6395
Mailing Address - Country:US
Mailing Address - Phone:805-286-2529
Mailing Address - Fax:
Practice Address - Street 1:1254 COTTONWOOD ST
Practice Address - Street 2:
Practice Address - City:TULARE
Practice Address - State:CA
Practice Address - Zip Code:93274-6395
Practice Address - Country:US
Practice Address - Phone:805-286-2529
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335G00000XSuppliersMedical Foods Supplier
No174200000XOther Service ProvidersMeals