Individual
CATHERINE NGUYEN TAOSUVANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Contact information
Practice address
100 E VALENCIA MESA DR, SUITE #310, FULLERTON, CA 92835-3813
(714) 446-5200
(714) 446-5181
Mailing address
200 W CENTER STREET PROMENADE STE 300, ANAHEIM, CA 92805-3960
(714) 449-4841
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA21423
CA
363AM0700X
Medical Physician Assistant
PA21423
CA
363AS0400X
Surgical Physician Assistant
PA21423
CA
Other
Enumeration date
12/21/2011
Last updated
11/20/2017
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