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Kathleen Ann McDonough

Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).

NPI number1861978538
StatusActive
Last updated in NPPESAug 26, 2019

Details

NPI
1861978538
Entity type
Individual (NPI-1)
Name
Kathleen Ann McDonough
Sex
Female
Sole proprietor
No
Enumeration date
Jul 16, 2018
Last updated
Aug 26, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

11303 W Washington Blvd Fl 2
Los Angeles, CA 90066-6003

Phone 310-482-3260 · Fax 310-313-0768

Mailing address

11303 W Washington Blvd Fl 2
Los Angeles, CA 90066-6003

Phone 310-482-3260 · Fax 310-313-0768

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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