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NPI Code Detail

MEDICARE: SABRINA MARIE CASTRO FNP-C, MSN

MEDICARE: SABRINA MARIE CASTRO FNP-C, MSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QU0200XUrgent Care Clinic/Center
2363LF0000XFamily Nurse Practitioner95023377CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
195023377OTHERCACA BOARD OF REGISTERED NURSING FNP LICENSE

General Provider Information

NPI Number : 1326750530
Entity Type Code : Individual
Provider Name (Legal Business Name) : SABRINA MARIE CASTRO FNP-C, MSN
Provider Business Mailing Address
First Line : 1668 S GARFIELD AVE
Second Line :
City : ALHAMBRA
State : CA
Zip : 91801-5400
Country : US
Telephone Number : 909-228-0809
Fax Number :
Provider Business Practice Location Address
First Line : 1668 S GARFIELD AVE
Second Line :
City : ALHAMBRA
State : CA
Zip : 91801-5400
Country : US
Telephone Number : 909-228-2829
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2022
Last Update Date : 03/01/2023

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