MIRASOL AGUSTIN
NPI 1073036695
Registered Nurse - Gastroenterology in Los Angeles, CA

Active since July 25, 2017
1983 MARENGO ST, LOS ANGELES, CA 90033(323) 409-5530 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 25, 2017 (2 updates tracked since 2017).

About Mirasol Agustin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRASOL AGUSTIN (NPI 1073036695) is an individual gastroenterology provider in Los Angeles, California, licensed in California (688778) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1073036695
Entity TypeIndividualFemale
Primary Taxonomy163WG0100X
Provider Legal NameMIRASOL AGUSTIN
Location Address1983 MARENGO STLos Angeles, CA 90033-1370
Mailing Address1983 Marengo StLos Angeles, CA 90033-1370 · (323) 409-5530
Sole ProprietorNo
Enumeration DateJuly 25, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1073036695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · GastroenterologyNursing Service Providers
Taxonomy Code163WG0100X
License Licensed in CA · 688778
1983 MARENGO ST, Los Angeles, CA 90033

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Gastroenterology)
1983 MARENGO ST
LOS ANGELES, CA 90033
Nurse Practitioner (Family)
1983 MARENGO ST
LOS ANGELES, CA 90033
Registered Nurse (Gastroenterology)
1983 MARENGO ST
LOS ANGELES, CA 90033
Registered Nurse (Gastroenterology)
1983 MARENGO ST
LOS ANGELES, CA 90033
Nurse Practitioner (Psychiatric/Mental Health)
1983 MARENGO ST
LOS ANGELES, CA 90033
Registered Nurse (Gastroenterology)
1983 MARENGO ST
LOS ANGELES, CA 90033
Respiratory Therapist, Registered
1983 MARENGO ST
LOS ANGELES, CA 90033
Registered Nurse (Gastroenterology)
1983 MARENGO ST
LOS ANGELES, CA 90033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mirasol Agustin's NPI number?

The NPI number for Mirasol Agustin is 1073036695. It was assigned to this individual provider in the NPPES registry on July 25, 2017.

Where is Mirasol Agustin located?

Mirasol Agustin practices at 1983 Marengo St, Los Angeles, CA 90033. The listed phone number is (323) 409-5530.

What is Mirasol Agustin's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Gastroenterology, with taxonomy code 163WG0100X.

When was this NPI record last updated?

The NPPES record for Mirasol Agustin was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.