MEDICARE: DR. CAITLIN CAHILL PICKART 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	A88876	CA

General Provider Information

NPI Number	:	1275657157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAITLIN CAHILL PICKART M.D.

Provider Business Mailing Address
First Line	:	275 BAKER ST STE A
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-4566
Country	:	US
Telephone Number	:	714-361-6760
Fax Number	:	714-442-8054

Provider Business Practice Location Address
First Line	:	275 BAKER ST STE A
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-4566
Country	:	US
Telephone Number	:	714-361-6760
Fax Number	:	714-361-6768

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

Provider Enumeration Date	:	03/18/2007
Last Update Date	:	04/19/2022

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