Provider Demographics
NPI:1649270596
Name:NEUMANN, CHRISTIAN HEINRICH (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:HEINRICH
Last Name:NEUMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6830
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92248-6830
Mailing Address - Country:US
Mailing Address - Phone:760-238-1550
Mailing Address - Fax:
Practice Address - Street 1:81880 DR CARREON BLVD
Practice Address - Street 2:A-102
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-5559
Practice Address - Country:US
Practice Address - Phone:760-342-7433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA384312085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A384310Medicaid
CA300138938OtherRAILROAD
CA00A384310OtherBLUE SHIELD
CA300138938OtherRAILROAD
CA00A384310Medicare PIN