Provider Demographics
NPI:1356578769
Name:NORRIS, KATHERINE ALLISON (MD)
Entity type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ALLISON
Last Name:NORRIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ALLISON
Other - Last Name:DEAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7801 MISSION CENTER CT
Mailing Address - Street 2:STE 250
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1314
Mailing Address - Country:US
Mailing Address - Phone:619-738-5566
Mailing Address - Fax:619-566-0202
Practice Address - Street 1:7801 MISSION CENTER CT
Practice Address - Street 2:STE 250
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1314
Practice Address - Country:US
Practice Address - Phone:619-461-3717
Practice Address - Fax:619-461-5663
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101248525208D00000X
CAA131742208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice