Healthcare Provider Details

I. General information

NPI: 1932003035
Provider Name (Legal Business Name): IAN PATRICK CATAMISAN I
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5741 LAS VIRGENES RD STE A
CALABASAS CA
91302-1273
US

IV. Provider business mailing address

20345 GILMORE ST
WINNETKA CA
91306-4213
US

V. Phone/Fax

Practice location:
  • Phone: 818-712-8250
  • Fax:
Mailing address:
  • Phone: 818-712-8250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: