MEDICARE: KATHERINE UNVERFERTH M.D.

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
1	2084P0800X	Psychiatry Physician	A149627	CA

General Provider Information

NPI Number	:	1164817789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE UNVERFERTH M.D.

Provider Business Mailing Address
First Line	:	2444 WILSHIRE BLVD STE 507
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-5826
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2444 WILSHIRE BLVD STE 507
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90403-5826
Country	:	US
Telephone Number	:	424-259-2766
Fax Number	:	888-850-1258

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2015
Last Update Date	:	10/08/2025

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