Healthcare Provider Details

I. General information

NPI: 1235048612
Provider Name (Legal Business Name): CHRISTIAN WEIMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 S HILL ST FL 5
LOS ANGELES CA
90012-3508
US

IV. Provider business mailing address

411 N LA FAYETTE PARK PL APT 5
LOS ANGELES CA
90026-4740
US

V. Phone/Fax

Practice location:
  • Phone: 323-804-1612
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: