Individual ProviderKatie HatsushiPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address3665 Kearny Villa Rd, Suite 101, San Diego, CA 92123-1953(858) 966-7759PECOS EnrollmentBased on the most recent information from CMS, provider Katie Hatsushi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1477849438Provider TypeIndividualFull NameHatsushi, KatieCredentialM.D.GenderFemaleSole ProprietorYesEnumeration Date6/28/2011Last Updated2/11/2014Contact InformationPractice LocationPractice Address3665 Kearny Villa Rd, Suite 101, San Diego, CA 92123-1953Phone(858) 966-7759FaxUnlisted FaxMailing LocationMailing Address3020 Childrens Way, Mail Code 5018, San Diego, CA 92123-4223Phone(858) 966-7759FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2084P0804XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseA123346California