Provider Demographics
NPI:1962702084
Name:VO-GONZALEZ, KATHERINE L (PA-C)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:L
Last Name:VO-GONZALEZ
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:17742 BEACH BLVD
Mailing Address - Street 2:STE 215
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-6818
Mailing Address - Country:US
Mailing Address - Phone:714-848-1655
Mailing Address - Fax:714-847-4348
Practice Address - Street 1:17742 BEACH BLVD
Practice Address - Street 2:STE 215
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-6818
Practice Address - Country:US
Practice Address - Phone:714-848-1655
Practice Address - Fax:714-847-4348
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2019-12-20
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Provider Licenses
StateLicense IDTaxonomies
CAPA21297363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical