Healthcare Provider Details

I. General information

NPI: 1346498938
Provider Name (Legal Business Name): CATHERINE GENNINGS SAXBE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2008
Last Update Date: 09/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 ALCAZAR ST SUITE 2207
LOS ANGELES CA
90089-0107
US

IV. Provider business mailing address

2250 ALCAZAR ST SUITE 2207
LOS ANGELES CA
90089-0107
US

V. Phone/Fax

Practice location:
  • Phone: 646-409-1500
  • Fax:
Mailing address:
  • Phone: 646-409-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA103166
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: