Provider Demographics
NPI:1366320699
Name:HERRERA, KATHERINE JOSABETH
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:JOSABETH
Last Name:HERRERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:328 1/2 S CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-1636
Mailing Address - Country:US
Mailing Address - Phone:323-816-6868
Mailing Address - Fax:
Practice Address - Street 1:500 E CARSON PLAZA DR STE 224
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90746-7337
Practice Address - Country:US
Practice Address - Phone:213-793-4059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical