Healthcare Provider Details

I. General information

NPI: 1295692846
Provider Name (Legal Business Name): CATHERINE CLEMENT DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 STATE HWY 150 UNIT 7
EL PRADO NM
87529
US

IV. Provider business mailing address

333 S WILTON PL APT 4
LOS ANGELES CA
90020-4583
US

V. Phone/Fax

Practice location:
  • Phone: 575-776-1117
  • Fax:
Mailing address:
  • Phone: 575-776-1117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37510
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: