Provider Demographics
NPI:1437820487
Name:D. KATTENGELL O.D. INC.
Entity Type:Organization
Organization Name:D. KATTENGELL O.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:KATTENGELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-365-4744
Mailing Address - Street 1:1431 7TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-2638
Mailing Address - Country:US
Mailing Address - Phone:310-395-5550
Mailing Address - Fax:310-395-3398
Practice Address - Street 1:1431 7TH ST STE 101
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-2638
Practice Address - Country:US
Practice Address - Phone:310-395-5550
Practice Address - Fax:310-395-3398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty