MEDICARE: MAUREEN CATHY TERRAZANO 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	G73113	CA
2	2084P0800X	Psychiatry Physician	G 73113	CA

General Provider Information

NPI Number	:	1942341920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAUREEN CATHY TERRAZANO M.D.

Provider Business Mailing Address
First Line	:	450 E SAN JACINTO AVE STE 100
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92571-2833
Country	:	US
Telephone Number	:	951-443-2200
Fax Number	:	951-443-2200

Provider Business Practice Location Address
First Line	:	450 E SAN JACINTO AVE STE 100
Second Line	:
City	:	PERRIS
State	:	CA
Zip	:	92571-2833
Country	:	US
Telephone Number	:	951-443-2200
Fax Number	:	951-443-2200

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

Provider Enumeration Date	:	02/10/2007
Last Update Date	:	04/13/2021

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