Healthcare Provider Details

I. General information

NPI: 1700336328
Provider Name (Legal Business Name): CHRISTINE Y TAT CASE MANAGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2016
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 S LAFAYETTE PARK PLACE 3RD FLOOR
LA CA
90057
US

IV. Provider business mailing address

520 S LAFAYETTE PARK PLACE 3RD FLOOR
LOS ANGELES CA
90057-5400
US

V. Phone/Fax

Practice location:
  • Phone: 213-252-2100
  • Fax: 213-383-3146
Mailing address:
  • Phone: 213-268-5245
  • Fax: 626-427-1512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: