Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | A131417 | CA |
N | 207ND0900X | Dermatopathologist | 35.121208 | OH |
NPI | 1346415437 |
---|---|
Provider Name | Dr. Natasha Mesinkovska |
First Address | Irvine, CA 92697 |
Second Address | Mission Viejo, CA 92692-3703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2008 |
Last Update Date | 01/03/2017 |