Mia Amigon
Individual provider Active NPI Licensed Vocational Nurse · Hawaiian Gardens, CA
NPI 1407700982 · NPPES record last updated Feb 23, 2026
Key facts
- NPI
- 1407700982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Vocational Nurse 164X00000X
- License
- 720332 (CA)
- Practice address
- 21505 Norwalk Blvd
Hawaiian Gardens, CA 90716-1121 - Phone
- (562) 916-7581
- NPI assigned
- Feb 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 720332 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 720332 | CA | Yes |
Addresses
Primary practice location
21505 Norwalk Blvd
Hawaiian Gardens, CA 90716-1121
Mailing address
2000 W Glenoaks Ave Apt 76
Anaheim, CA 92801-3975
Other providers in Hawaiian Gardens, CA
- Alicia G Nugas MD Inc.
- Amable Delos Reyes Aguiluz Jr, M.D. Inc
- Amable R. Aguiluz Jr. MD Inc.
- Richard R Ambrose
- American Health Services LLC
- Amir Norbaksh DO Inc
- Amrit Singh MD Inc
- Celia Avila
- Marcela Avila
- Azar Daneshbod MD Medical Corporation
All providers in Hawaiian Gardens, CA · Licensed Vocational Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.