Healthcare Provider Details

I. General information

NPI: 1033988647
Provider Name (Legal Business Name): KATHERINE HAMMOND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2023
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1809 VERDUGO BLVD STE 350
GLENDALE CA
91208-1476
US

IV. Provider business mailing address

1809 VERDUGO BLVD STE 350
GLENDALE CA
91208-1476
US

V. Phone/Fax

Practice location:
  • Phone: 818-246-7115
  • Fax: 877-366-1148
Mailing address:
  • Phone: 818-246-7115
  • Fax: 877-366-1148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95027009
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95264552
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: