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NPI Code Detail

MEDICARE: PAIGE OSTLUND NP-C

MEDICARE: PAIGE OSTLUND NP-C
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
1363LF0000XFamily Nurse Practitioner95016946CA

General Provider Information

NPI Number : 1356926745
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAIGE OSTLUND NP-C
Provider Business Mailing Address
First Line : 312 RAYMONDALE DR APT B
Second Line :
City : SOUTH PASADENA
State : CA
Zip : 91030-2120
Country : US
Telephone Number : 626-437-8991
Fax Number :
Provider Business Practice Location Address
First Line : 100 W CALIFORNIA BLVD
Second Line :
City : PASADENA
State : CA
Zip : 91105-3010
Country : US
Telephone Number : 626-397-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2021
Last Update Date : 02/04/2026

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Directions to “ PAIGE OSTLUND NP-C” Practice Location

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