Doctor Name: | MRS. KATRINA NGUYEN JOSKI |
NPI Number: | 1336452440 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA21025 |
Business Practice Address: | 6520 N Irwindale Ave Irwindale, CA - 917022801 |
Business Phone Number: | 6268120366 |
Business Fax Number: | |
Mailing Address: | 210 E Garfield Ave Apt 11, GLENDALE |
State: | CA |
Postal Code: | 912053955 |
Phone Number: | 9202423846 |
Fax Number: | |
NPI Enumeration Date: | 07/17/2010 |
NPI Last Update Date: | 10/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA21025 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |