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General NPI Number Information
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NPI Number | 1467286187
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Entity Type | Individual
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Provider Name | LAVINIA CASTILLO SAGARIO PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/27/2024
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 1820 FULLERTON AVE STE 115
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City | CORONA
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State | CA
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Zip | 92881-3113
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Country | US
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Telephone | 323-306-9632
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Fax | 323-268-6738
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Provider Business Mailing Address
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Address Line | 14650 AVIATION BLVD STE 200
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City | HAWTHORNE
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State | CA
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Zip | 90250-6670
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State | CA
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