Healthcare Provider Details

I. General information

NPI: 1174696033
Provider Name (Legal Business Name): CATALINA FLICK NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2006
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12501 IMPERIAL HWY STE 500
NORWALK CA
90650-3179
US

IV. Provider business mailing address

12501 IMPERIAL HWY STE 500
NORWALK CA
90650-3179
US

V. Phone/Fax

Practice location:
  • Phone: 562-864-7821
  • Fax:
Mailing address:
  • Phone: 562-864-7821
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number13186
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number553017
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number13186
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: