| Doctor Name: | KATERINA VIITALA |
| NPI Number: | 1972906154 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 51975 |
| Business Practice Address: | 63532 Twentynine Palms Hwy Suite C Joshua Tree, CA - 92252 |
| Business Phone Number: | 7603667555 |
| Business Fax Number: | 7603660518 |
| Mailing Address: | Po Box 1220, JOSHUA TREE |
| State: | CA |
| Postal Code: | 922520810 |
| Phone Number: | 7603667555 |
| Fax Number: | 7603660518 |
| NPI Enumeration Date: | 10/02/2014 |
| NPI Last Update Date: | 01/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 51975 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |