Healthcare Provider Details

I. General information

NPI: 1023951126
Provider Name (Legal Business Name): CATARINA KITCHI LAM RN,NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1495 N MAR VISTA AVE
PASADENA CA
91104-2506
US

IV. Provider business mailing address

1495 N MAR VISTA AVE
PASADENA CA
91104-2506
US

V. Phone/Fax

Practice location:
  • Phone: 626-757-1723
  • Fax:
Mailing address:
  • Phone: 626-757-1723
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number16024
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: