Provider Demographics
NPI:1558847475
Name:CATALYST HEALTH
Entity Type:Organization
Organization Name:CATALYST HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SNEHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHAKTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-296-7422
Mailing Address - Street 1:79947 PARKWAY ESPLANADE N
Mailing Address - Street 2:
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-8815
Mailing Address - Country:US
Mailing Address - Phone:760-296-7422
Mailing Address - Fax:
Practice Address - Street 1:79947 PARKWAY ESPLANADE N
Practice Address - Street 2:
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-8815
Practice Address - Country:US
Practice Address - Phone:760-296-7422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-13
Last Update Date:2018-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health