Provider Demographics
NPI:1528076536
Name:DEGUZMAN, CATHERINE F HAO (NP FAC)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:F HAO
Last Name:DEGUZMAN
Suffix:
Gender:F
Credentials:NP FAC
Other - Prefix:
Other - First Name:CATHERINE FIDELIS
Other - Middle Name:HAOCKY
Other - Last Name:DE GUZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1219 E SUNFLOWER CIR
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-3375
Mailing Address - Country:US
Mailing Address - Phone:714-997-3000
Mailing Address - Fax:
Practice Address - Street 1:1201 W LA VETA AVE
Practice Address - Street 2:STE 101
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868
Practice Address - Country:US
Practice Address - Phone:714-633-0942
Practice Address - Fax:714-633-7110
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN354321363L00000X
CANP14764363L00000X
CA354321363LP2300X
CA14764363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner