Provider Demographics
NPI:1619294881
Name:FRAME, KATHERINE JANE (LAC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:JANE
Last Name:FRAME
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 14TH ST
Mailing Address - Street 2:#8
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-2638
Mailing Address - Country:US
Mailing Address - Phone:480-277-5317
Mailing Address - Fax:
Practice Address - Street 1:21355 PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:MALIBU
Practice Address - State:CA
Practice Address - Zip Code:90265-5250
Practice Address - Country:US
Practice Address - Phone:480-277-5317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13647171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty