Healthcare Provider Details

I. General information

NPI: 1649628116
Provider Name (Legal Business Name): CATHY CHUANG SOHRABI DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2016
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6235 N FRESNO ST
FRESNO CA
93710-5269
US

IV. Provider business mailing address

6235 N FRESNO ST
FRESNO CA
93710-5269
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE5497
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: