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Individual

SIERRA GAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CPNP-PC

Contact information

Practice address
30300 CAMINO CAPISTRANO, SAN JUAN CAPISTRANO, CA 92675-1304
(949) 240-2272
Mailing address
19100 VON KARMAN AVE STE 260, IRVINE, CA 92612-6557
(949) 868-5004

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95420052
CA
163W00000X
Registered Nurse
RN2390264
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
95036820
CA

Other

Enumeration date
07/24/2025
Last updated
04/21/2026
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