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General NPI Number Information
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NPI Number | 1972431179
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Entity Type | Individual
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Provider Name | MIRNA SARAHI CALDERON RN
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Gender | Female
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 1045 W REDONDO BEACH BLVD
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City | GARDENA
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State | CA
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Zip | 90247-4128
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Country | US
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Telephone | 323-241-6730
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Fax |
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Provider Business Mailing Address
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Address Line | 10468 SOMERSET BLVD
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City | BELLFLOWER
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State | CA
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Zip | 90706-3323
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Country | US
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Telephone | 323-241-6730
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95056558
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 95056558
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License Number State | CA
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