Provider Demographics
NPI:1346415437
Name:MESINKOVSKA, NATASHA (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:
Last Name:MESINKOVSKA
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:
Other - Last Name:ATANASKOVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD PHD
Mailing Address - Street 1:1 MEDICAL PLAZA DR
Mailing Address - Street 2:GOTTCHALK PLAZA
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92697
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28261 MARGUERITE PKWY
Practice Address - Street 2:SUITE 200
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-3703
Practice Address - Country:US
Practice Address - Phone:949-542-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA131417207N00000X
OH35.121208207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology