Provider Demographics
NPI:1477721355
Name:PURSHOTAM B. KATARIA, INC
Entity Type:Organization
Organization Name:PURSHOTAM B. KATARIA, INC
Other - Org Name:KATARIA COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PURSHOTAM
Authorized Official - Middle Name:B
Authorized Official - Last Name:KATARIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-735-6000
Mailing Address - Street 1:112 W GRAND BLVD
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-2006
Mailing Address - Country:US
Mailing Address - Phone:951-735-6000
Mailing Address - Fax:951-735-6960
Practice Address - Street 1:112 W GRAND BLVD
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-2006
Practice Address - Country:US
Practice Address - Phone:951-735-6000
Practice Address - Fax:951-735-6960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA434562084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A434560Medicaid
CA00A434560Medicaid