Healthcare Provider Details

I. General information

NPI: 1184713570
Provider Name (Legal Business Name): CATHERINE LOUISE LOUDEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 12/04/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 E HUNTINGTON DR
ARCADIA CA
91006-3748
US

IV. Provider business mailing address

450 E HUNTINGTON DR
ARCADIA CA
91006-3748
US

V. Phone/Fax

Practice location:
  • Phone: 626-254-2175
  • Fax:
Mailing address:
  • Phone: 626-254-2175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberG078930
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: