Individual
CATHLEEN CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18657 BROOKHURST ST, FOUNTAIN VALLEY, CA 92708-6709
(714) 968-4111
Mailing address
18944 MOUNT CIMARRON ST, FOUNTAIN VALLEY, CA 92708-7313
(714) 746-4793
Taxonomy
Speciality
Code
Description
License number
State
246XS1301X
Sonography Specialist/Technologist Cardiovascular
11129
CA
2471S1302X
Sonography Radiologic Technologist
Primary
11129
CA
2471V0105X
Vascular Sonography Radiologic Technologist
11129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11129
ARDMS
CA
Enumeration date
05/04/2010
Last updated
05/04/2010
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