Healthcare Provider Details

I. General information

NPI: 1053129155
Provider Name (Legal Business Name): CHRISTINA ANNE NEUMEISTER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINA ANNE MICHEL

II. Dates (important events)

Enumeration Date: 12/20/2024
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

2799 E ORANGE GROVE BLVD
PASADENA CA
91107-2736
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-3277
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License Number95050205
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95033686
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: