Provider Demographics
NPI:1326809948
Name:HOSS, KATAYOUN
Entity Type:Individual
Prefix:
First Name:KATAYOUN
Middle Name:
Last Name:HOSS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:
Other - Last Name:HOSS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1914 GATES AVE # B
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-1903
Mailing Address - Country:US
Mailing Address - Phone:424-254-6707
Mailing Address - Fax:
Practice Address - Street 1:1914 GATES AVE # B
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-1903
Practice Address - Country:US
Practice Address - Phone:424-254-6707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-22
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach