MIA CARRASCO MD NPI 1053054270

NPI Information

NPI: 1053054270
Provider Name: MIA CARRASCO, MD
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
200 MERCY CIRCLE
CAMP PENDLETON, CA
ZIP 92055
Phone: (480) 815-3827
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Mia Carrasco, MD is a general practice in Camp Pendleton, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Mia Carrasco, MD NPI is 1053054270. 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:

200 MERCY CIRCLE
CAMP PENDLETON, CA
ZIP 92055-191
Phone: (480) 815-3827

The enumeration date for this NPI number is 4/15/2022 and was last updated on 8/24/2023.

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	208D00000X	General Practice		0101279645	VIRGINIA	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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