MIRASOL AGUSTIN NPI 1073036695

NPI Information

NPI: 1073036695
Provider Name: MIRASOL AGUSTIN
Classification: Registered Nurse - 163WG0100X
Entity Type: Individual

Specialization: Gastroenterology

Address:
1983 MARENGO ST
LOS ANGELES, CA
ZIP 90033
Phone: (323) 409-5530
Get Directions

Mirasol Agustin is a gastroenterology registered nurse in Los Angeles, CA. Mirasol Agustin NPI is 1073036695. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1983 MARENGO ST
LOS ANGELES, CA
ZIP 90033-370
Phone: (323) 409-5530

The enumeration date for this NPI number is 7/25/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WG0100X	Registered Nurse	Gastroenterology	688778	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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