Provider Demographics
NPI:1588542153
Name:RONDA, CATHERINE LINGAN
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LINGAN
Last Name:RONDA
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 1:12007 FAIRMONT CT
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-1677
Mailing Address - Country:US
Mailing Address - Phone:310-283-9277
Mailing Address - Fax:
Practice Address - Street 1:913 W 7TH ST
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-6755
Practice Address - Country:US
Practice Address - Phone:805-823-4144
Practice Address - Fax:805-394-0078
Is Sole Proprietor?:No
Enumeration Date:2025-08-22
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95021402363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily