Healthcare Provider Details

I. General information

NPI: 1235563636
Provider Name (Legal Business Name): CATHY TEMPKIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2013
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6762 LEXINGTON AVE SUITE A
LOS ANGELES CA
90038-1217
US

IV. Provider business mailing address

1328 2ND ST
SANTA MONICA CA
90401-1122
US

V. Phone/Fax

Practice location:
  • Phone: 323-380-7590
  • Fax: 323-380-7591
Mailing address:
  • Phone: 310-576-1308
  • Fax: 310-576-1027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: