Organization
B. MAYA KATO, MD, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLYTHE MAYA KATO M.D. (PRESIDENT)
(760) 565-3900
Entity
Organization
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
—
EA334A
PTAN
—
Enumeration date
08/31/2010
Last updated
12/21/2011
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