Healthcare Provider Details

I. General information

NPI: 1447031570
Provider Name (Legal Business Name): KATHERINE HOWARD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2023
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 WILSHIRE BLVD STE 505
SANTA MONICA CA
90403-5640
US

IV. Provider business mailing address

3516 JASMINE AVE APT 108
LOS ANGELES CA
90034-4951
US

V. Phone/Fax

Practice location:
  • Phone: 424-345-7345
  • Fax:
Mailing address:
  • Phone: 424-332-7329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number19892
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: