Basic Information
| Provider Information | |||||||||
| NPI: | 1265672240 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VASKO | ||||||||
| FirstName: | CATHERINE | ||||||||
| MiddleName: | MANIAGO | ||||||||
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| Credential: | RNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 25 SAGEBRUSH | ||||||||
| Address2: | |||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926184052 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7148351800 | ||||||||
| FaxNumber: | 7148351811 | ||||||||
| Practice Location | |||||||||
| Address1: | 1010 W LA VETA AVE | ||||||||
| Address2: | 200 | ||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928684304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7148351800 | ||||||||
| FaxNumber: | 7148351811 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2009 | ||||||||
| LastUpdateDate: | 03/04/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 429536 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.