Provider Demographics
NPI:1265012496
Name:SIHOMBING, CHATERINE F (RN)
Entity Type:Individual
Prefix:
First Name:CHATERINE
Middle Name:F
Last Name:SIHOMBING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9534 SURREY AVE
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:CA
Mailing Address - Zip Code:91763-2240
Mailing Address - Country:US
Mailing Address - Phone:909-472-7091
Mailing Address - Fax:
Practice Address - Street 1:9534 SURREY AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:CA
Practice Address - Zip Code:91763-2240
Practice Address - Country:US
Practice Address - Phone:909-472-7091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95216403163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health