Healthcare Provider Details

I. General information

NPI: 1962318816
Provider Name (Legal Business Name): CATHY CHUANG DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6235 N FRESNO ST STE 101
FRESNO CA
93710-5269
US

IV. Provider business mailing address

11061 N VIA RIMINI DR
FRESNO CA
93730-7100
US

V. Phone/Fax

Practice location:
  • Phone: 559-229-3668
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: CATHY CHUANG SOHRABI
Title or Position: PODIATRIST
Credential: DPM
Phone: 858-337-7998