Basic Information
Provider Information
NPI: 1558594911
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AQUINO
FirstName: CATHERINE
MiddleName: T
NamePrefix: MS.
NameSuffix:  
Credential: FNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3711 LONG BEACH BLVD
Address2: STE 700
City: LONG BEACH
State: CA
PostalCode: 908073353
CountryCode: US
TelephoneNumber: 5624038880
FaxNumber:  
Practice Location
Address1: 5427 WHITTIER BLVD
Address2:  
City: LOS ANGELES
State: CA
PostalCode: 900224101
CountryCode: US
TelephoneNumber: 3238691900
FaxNumber: 3238695362
Other Information
ProviderEnumerationDate: 09/01/2009
LastUpdateDate: 12/27/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102X18718CAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
363LX0001X18718CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
363LF0000X18718CAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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