Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mirasol Agustin

Individual provider Gastroenterology Registered Nurse · NPI 1073036695

Mirasol Agustin is a Gastroenterology Registered Nurse in Los Angeles, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

1983 Marengo St
Los Angeles, CA 90033-1370
Phone: (323) 409-5530
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Registered Nurse (primary) Taxonomy 163WG0100X · Licence 688778 (CA)

Record details

NPI number1073036695
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 25, 2017
Last updated in NPPESJuly 21, 2022

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