Provider Demographics
NPI:1457594160
Name:KADIN, NATALIE ERIN (MD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:ERIN
Last Name:KADIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:100 MOODY CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-6077
Mailing Address - Country:US
Mailing Address - Phone:805-418-3500
Mailing Address - Fax:805-418-3505
Practice Address - Street 1:100 MOODY CT
Practice Address - Street 2:SUITE 200
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-6077
Practice Address - Country:US
Practice Address - Phone:805-418-3500
Practice Address - Fax:805-418-3505
Is Sole Proprietor?:No
Enumeration Date:2009-04-10
Last Update Date:2015-05-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA119803207Y00000X, 207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1457594160Medicaid
CAGE047ZMedicare PIN