Healthcare Provider Details
I. General information
NPI: 1821569765
Provider Name (Legal Business Name): CHRISTIANNE ZAH-WEBER DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/17/2018
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
390 N PACIFIC COAST HWY STE 2060
EL SEGUNDO CA
90245-4401
US
IV. Provider business mailing address
3835 N FREEWAY BLVD STE 100
SACRAMENTO CA
95834-1954
US
V. Phone/Fax
- Phone: 855-501-1004
- Fax: 424-277-6085
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 95010474 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: