Healthcare Provider Details

I. General information

NPI: 1831803808
Provider Name (Legal Business Name): GEORGE CATTANACH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/13/2023
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11721 TELEGRAPH RD STE A
SANTA FE SPRINGS CA
90670-6835
US

IV. Provider business mailing address

4791 E MALTA ST APT 4
LONG BEACH CA
90815-3819
US

V. Phone/Fax

Practice location:
  • Phone: 562-949-8455
  • Fax:
Mailing address:
  • Phone: 949-209-6520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number16938
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: