Provider Demographics
NPI:1134298169
Name:GOLDBERG, CATHERINE ANN (MPH)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANN
Last Name:GOLDBERG
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:BORLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2212 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-3870
Mailing Address - Country:US
Mailing Address - Phone:714-628-3242
Mailing Address - Fax:714-744-0136
Practice Address - Street 1:2212 E 4TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-3870
Practice Address - Country:US
Practice Address - Phone:714-628-3242
Practice Address - Fax:714-744-0136
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator