Healthcare Provider Details

I. General information

NPI: 1619077260
Provider Name (Legal Business Name): CATHERINE CATURA PAISTE DOCTOR OF PHARMACY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2006
Last Update Date: 01/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11301 WILSHIRE BLVD
LOS ANGELES CA
90073-1003
US

IV. Provider business mailing address

12621 WASHINGTON PL 102
LOS ANGELES CA
90066-4870
US

V. Phone/Fax

Practice location:
  • Phone: 310-268-3244
  • Fax:
Mailing address:
  • Phone: 310-980-1705
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number51407
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: