Provider Demographics
NPI:1073567236
Name:MAO, CATHERINE S (MD)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:S
Last Name:MAO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:21840 NORMANDIE AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2047
Mailing Address - Country:US
Mailing Address - Phone:310-222-5189
Mailing Address - Fax:310-328-1415
Practice Address - Street 1:21840 NORMANDIE AVE
Practice Address - Street 2:STE. 1100
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2047
Practice Address - Country:US
Practice Address - Phone:310-222-5133
Practice Address - Fax:310-781-9352
Is Sole Proprietor?:No
Enumeration Date:2006-05-20
Last Update Date:2019-07-23
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Provider Licenses
StateLicense IDTaxonomies
CAA519702080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG01134Medicare UPIN
CAWA51970AMedicare PIN
CAWA51970BMedicare PIN