OrganizationKatherine Manasson M.D., Inc.Internal MedicineAllopathic & Osteopathic PhysiciansPractice Address26732 Crown Valley Pkwy, Suite 507, Mission Viejo, CA 92691-6306(949) 348-1086(949) 751-7604PECOS EnrollmentBased on the most recent information from CMS, provider Katherine Manasson M.D., Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1356392575Provider TypeOrganizationFull NameKatherine Manasson M.D., Inc.SubpartNoEnumeration Date5/12/2006Last Updated3/20/2008Contact InformationPractice LocationPractice Address26732 Crown Valley Pkwy, Suite 507, Mission Viejo, CA 92691-6306Phone(949) 348-1086Fax(949) 348-1087Mailing LocationMailing Address54 Coral Lk, Irvine, CA 92614-5443Phone(949) 751-7604Fax(949) 348-1087Authorized OfficialNameManasson, Katherine (President)Phone(949) 751-7604Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA61594CaliforniaProvider IdentifiersIDDescriptionIssuerIDW19900DescriptionOtherIssuerMEDICARE PTANCaliforniaID00A615940DescriptionMedicaidIssuerUnlistedCalifornia