Individual
CHRISTIAN-JEFF MISTICA PONTIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1048 IRVINE AVE # 1056, NEWPORT BEACH, CA 92660-4602
(949) 340-2111
(562) 924-1804
Mailing address
5877 LOS ENCINOS ST, BUENA PARK, CA 90620-3401
(650) 580-8797
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
838058
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95031413
CA
Other
Enumeration date
07/22/2019
Last updated
07/21/2025
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