Individual provider · Type 1 NPI
Mirasol Fajardo, N.P.
Adult Health Nurse Practitioner · Buena Park, CA
NPI number
1174573448
Active
Practice location
6240 Descanso Ave
Buena Park, CA 90620-1013
Mailing address
3520 Clarington Ave
Los Angeles, CA 90034-4922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 15932 (CA) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1174573448
Mirasol Fajardo, N.P.'s National Provider Identifier is 1174573448, issued on May 10, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Buena Park, CA. The record was last updated on Jul 13, 2026.