1922208883 NPI number — CATHERINE LENKOSKI VOJTUS M.D.

Table of content: CATHERINE LENKOSKI VOJTUS M.D. (NPI 1922208883)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1922208883 NPI number — CATHERINE LENKOSKI VOJTUS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VOJTUS
Provider First Name:
CATHERINE
Provider Middle Name:
LENKOSKI
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LENKOSKI
Provider Other First Name:
CATHERINE
Provider Other Middle Name:
S.
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1922208883
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/01/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
18231 IRVINE BLVD
Provider Second Line Business Mailing Address:
STE 204
Provider Business Mailing Address City Name:
TUSTIN
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92780-3432
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
714-389-5700
Provider Business Mailing Address Fax Number:
714-389-6973

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24060 CAMINO DEL AVION
Provider Second Line Business Practice Location Address:
STE A
Provider Business Practice Location Address City Name:
MONARCH BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92629-4006
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
949-248-8900
Provider Business Practice Location Address Fax Number:
949-248-8901
Provider Enumeration Date:
07/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  A98507 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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