Healthcare Provider Details

I. General information

NPI: 1447855911
Provider Name (Legal Business Name): CHRISTIANA ABRAHAM NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2020
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25825 VERMONT AVE
HARBOR CITY CA
90710-3518
US

IV. Provider business mailing address

834 N JUANITA AVE APT A
REDONDO BEACH CA
90277-2229
US

V. Phone/Fax

Practice location:
  • Phone: 818-375-2704
  • Fax:
Mailing address:
  • Phone: 818-524-8534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95017266
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: