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NPI Code Detail

MEDICARE: BRITTNEY KATO ATC

MEDICARE:   BRITTNEY  KATO  ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12255A2300XAthletic Trainer

General Provider Information

NPI Number : 1669917951
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTNEY KATO ATC
Provider Business Mailing Address
First Line : 3513 S OLIVE ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92707-3965
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 15871 SPRINGDALE ST
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92649-1727
Country : US
Telephone Number : 714-893-6571
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2016
Last Update Date : 12/22/2016

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Directions to “ BRITTNEY KATO ATC” Practice Location

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