Individual provider · Type 1 NPI

Cassandra Bagnall

Specialist · San Diego, CA

NPI number 1093495442 Active

Practice location

3737 Moraga Ave Ste A204
San Diego, CA 92117-5489

Call (858) 352-6438 Map

Fax (760) 818-8025

Mailing address

4478 Utah St Apt 6
San Diego, CA 92116-5115

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XL9507 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1093495442

Cassandra Bagnall's National Provider Identifier is 1093495442, issued on Jul 20, 2023. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Diego, CA. The record was last updated on Jul 20, 2023.