Healthcare Provider Details

I. General information

NPI: 1023751815
Provider Name (Legal Business Name): MEGHNA KATAKY DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/19/2022
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S IDAHO ST
LA HABRA CA
90631-6047
US

IV. Provider business mailing address

4855 ARROW HWY UNIT 154
MONTCLAIR CA
91763-1243
US

V. Phone/Fax

Practice location:
  • Phone: 562-690-0400
  • Fax: 562-690-3182
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number20A24511
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: