Healthcare Provider Details

I. General information

NPI: 1437035953
Provider Name (Legal Business Name): NEUROM PSYCHIATRY A PROFESSIONAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 04/10/2026
Certification Date: 04/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 HAMPSHIRE RD STE 104
WESTLAKE VILLAGE CA
91361-2534
US

IV. Provider business mailing address

650 HAMPSHIRE RD STE 104
WESTLAKE VILLAGE CA
91361-2534
US

V. Phone/Fax

Practice location:
  • Phone: 805-790-7757
  • Fax: 805-263-4097
Mailing address:
  • Phone: 805-790-7757
  • Fax: 805-263-4097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JULIA TERESA CRUZ ANGUIANO
Title or Position: CEO/OWNER
Credential: PMHNP-BC
Phone: 805-790-7757