Healthcare Provider Details

I. General information

NPI: 1386847499
Provider Name (Legal Business Name): KATHLEEN JUNE WEBSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17800 VAN NESS AVE
TORRANCE CA
90504-4330
US

IV. Provider business mailing address

1426 BLAIR LN
TUSTIN CA
92780-3501
US

V. Phone/Fax

Practice location:
  • Phone: 310-533-4510
  • Fax:
Mailing address:
  • Phone: 714-478-9351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: