Individual
KATRINA OCTAVIANO PASION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(424) 306-4546
Mailing address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 222-2345
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
690211
CA
363LF0000X
Family Nurse Practitioner
95009428
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B6447933
DRIVER LICENSE
CA
Enumeration date
06/29/2017
Last updated
04/03/2019
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