Provider Demographics
NPI:1659953495
Name:SALDIVAR, CATALINA V (NONE)
Entity type:Individual
Prefix:
First Name:CATALINA
Middle Name:V
Last Name:SALDIVAR
Suffix:
Gender:F
Credentials:NONE
Other - Prefix:
Other - First Name:CATALINA
Other - Middle Name:V
Other - Last Name:GUTIERREZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NONE
Mailing Address - Street 1:5601 W SLAUSON AVE STE 168
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6584
Mailing Address - Country:US
Mailing Address - Phone:310-410-4450
Mailing Address - Fax:
Practice Address - Street 1:5601 W SLAUSON AVE STE 168
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6584
Practice Address - Country:US
Practice Address - Phone:310-410-4450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2472E0500X
CA1995551106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
No2472E0500XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherEEG