| Doctor Name: | MS. VICTORIA JOAN STADNYK |
| NPI Number: | 1063733715 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | NP19808 |
| Business Practice Address: | 5 Journey Ste 130 Aliso Viejo, CA - 926565330 |
| Business Phone Number: | 9493601069 |
| Business Fax Number: | 9493898968 |
| Mailing Address: | Po Box 5344, SAN CLEMENTE |
| State: | CA |
| Postal Code: | 926745344 |
| Phone Number: | 9499237271 |
| Fax Number: | 9499237271 |
| NPI Enumeration Date: | 06/17/2010 |
| NPI Last Update Date: | 03/18/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NP19808 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |