Individual provider · Type 1 NPI

Stephanie Boorstin Casasola, DO

Student in an Organized Health Care Education/Training Program · South Gate, CA

NPI number 1407659170 Active

Practice location

8627 Atlantic Ave
South Gate, CA 90280-3501

Call (323) 312-2605 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407659170

Stephanie Boorstin Casasola, DO's National Provider Identifier is 1407659170, issued on Mar 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in South Gate, CA. The record was last updated on Mar 28, 2025.