Healthcare Provider Details

I. General information

NPI: 1700796513
Provider Name (Legal Business Name): KATHERINE CLAIRE STORY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 WESTWOOD PLZ
LOS ANGELES CA
90095-8358
US

IV. Provider business mailing address

1314 FRANKLIN ST
SANTA MONICA CA
90404-2604
US

V. Phone/Fax

Practice location:
  • Phone: 310-248-0620
  • Fax:
Mailing address:
  • Phone: 310-248-0620
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95040481
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: