Provider Demographics
NPI:1043564362
Name:KATARIA, HARDEEP KAUR (OD)
Entity type:Individual
Prefix:
First Name:HARDEEP
Middle Name:KAUR
Last Name:KATARIA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20165 RINALDI ST STE 150
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-4933
Mailing Address - Country:US
Mailing Address - Phone:818-900-5650
Mailing Address - Fax:818-900-5651
Practice Address - Street 1:20165 RINALDI ST STE 150
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-4933
Practice Address - Country:US
Practice Address - Phone:818-900-5650
Practice Address - Fax:818-900-5651
Is Sole Proprietor?:No
Enumeration Date:2012-11-08
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT01537TLG152W00000X
FLOPC4791152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist