MEDICARE: ISABELLA RANDHAWA MUSTO PA

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
1	363A00000X	Physician Assistant	PA68007	CA

General Provider Information

NPI Number	:	1568332047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABELLA RANDHAWA MUSTO PA

Provider Business Mailing Address
First Line	:	27798 COUNTRY LANE RD
Second Line	:
City	:	LAGUNA NIGUEL
State	:	CA
Zip	:	92677-3774
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 FIFTH AVE STE 110
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-3122
Country	:	US
Telephone Number	:	858-554-1212
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	04/21/2026

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Directions to “ ISABELLA RANDHAWA MUSTO PA” Practice Location

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