Doctor Name: | DINO JAY AGUILAR |
NPI Number: | 1285930651 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 10231 Pinewood Ave Apt 10 Tujunga, CA - 910422486 |
Business Phone Number: | 8183531987 |
Business Fax Number: | |
Mailing Address: | 10231 Pinewood Ave, Apt 10 TUJUNGA |
State: | CA |
Postal Code: | 910422486 |
Phone Number: | 8183531987 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2011 |
NPI Last Update Date: | 02/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |