Fajardo, Mirasol

Fajardo, Mirasol is an individual health care provider with primary practice located at 6240 Descanso Ave , Buena Park CA 90620-1013. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Fajardo, Mirasol can be contacted via phone (714) 522-9794.

Contact Information

Primary practice address
6240 Descanso Ave Buena Park CA 90620-1013
Phone: (714) 522-9794
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 15932 California

Profile Details

NPI number 1174573448
LBN Legal business name Fajardo, Mirasol
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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