Healthcare Provider Details

I. General information

NPI: 1427997162
Provider Name (Legal Business Name): SAINT ANN KATERI GALWAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25935 ROLLING HILLS RD APT 210
TORRANCE CA
90505-7250
US

IV. Provider business mailing address

25935 ROLLING HILLS RD APT 210
TORRANCE CA
90505-7250
US

V. Phone/Fax

Practice location:
  • Phone: 310-714-0694
  • Fax:
Mailing address:
  • Phone: 310-714-0694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN95348071
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95039611
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: