Healthcare Provider Details

I. General information

NPI: 1235873738
Provider Name (Legal Business Name): CATHERINE CAIRO RESNICK DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 W FERN AVE
REDLANDS CA
92373-5916
US

IV. Provider business mailing address

26149 PARK AVE UNIT 4
LOMA LINDA CA
92354-6128
US

V. Phone/Fax

Practice location:
  • Phone: 909-335-4102
  • Fax: 909-793-1108
Mailing address:
  • Phone: 562-322-7535
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95033646
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: