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NPI Code Detail

MEDICARE: CATHERINE KHAJAVI

MEDICARE:   CATHERINE  KHAJAVI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TS0200XSchool Psychologist230117411CA

General Provider Information

NPI Number : 1154282812
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE KHAJAVI
Provider Business Mailing Address
First Line : 39660 TINDERBOX WAY
Second Line :
City : MURRIETA
State : CA
Zip : 92562-4779
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1441 MONTIEL RD STE 143
Second Line :
City : ESCONDIDO
State : CA
Zip : 92026-2242
Country : US
Telephone Number : 760-410-4555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2025
Last Update Date : 11/21/2025

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Directions to “ CATHERINE KHAJAVI ” Practice Location

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