Healthcare Provider Details

I. General information

NPI: 1134630924
Provider Name (Legal Business Name): SABRINA CATANHO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2017
Last Update Date: 10/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1926 BEVERLY BLVD
LOS ANGELES CA
90057-2402
US

IV. Provider business mailing address

7111 SANTA MONICA BLVD APT 230
WEST HOLLYWOOD CA
90046-3451
US

V. Phone/Fax

Practice location:
  • Phone: 213-353-1140
  • Fax:
Mailing address:
  • Phone: 559-302-0123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: