Organization
KATRINA SPEARS BABCOCK DO CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATRINA S BABCOCK DO (OWNER)
(805) 379-9911
Entity
Organization
Contact information
Practice address
23242 HATTERAS ST, WOODLAND HILLS, CA 91367-3118
(805) 379-9911
(805) 230-2134
Mailing address
325 ROLLING OAKS DR, SUITE 250, THOUSAND OAKS, CA 91361-1201
(805) 379-9911
(805) 230-2134
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610121400
US DEPT OF LABOR
—
01
—
610121401
US DEPT OF LABOR
—
Enumeration date
01/25/2006
Last updated
07/14/2015
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