Individual
B. MAYA KATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
36867 COOK ST, SUITE 103, PALM DESERT, CA 92211-6064
(760) 565-3900
(855) 505-3900
Mailing address
36867 COOK ST, SUITE 103, PALM DESERT, CA 92211-6064
(760) 565-3900
(855) 505-3900
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G86538
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G865380
—
CA
01
—
CO622Y
PTAN
—
Enumeration date
10/25/2006
Last updated
03/18/2014
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