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Physician Compare National (NPI:1952425472)

HEALTHCARE PROVIDER: EVAN PETER KATTEN LCSW

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1952425472
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 8729254230
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120105000279
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name KATTEN
Individual professional last name
Provider First Name EVAN
Individual professional first name
Provider Middle Name PETER
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1981
Individual professional's medical school graduation year
Primary Specialty CLINICAL SOCIAL WORKER
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 127 N MADISON AVE
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 301
Group Practice or individual's line 2 address
City PASADENA
Group Practice or individual's city
State CA
Group Practice or individual's state
Zip Code 911011716
Group Practice or individual's zip code (9 digits when available)
Phone Number 6267959065
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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