| Organization Name: | AGUILUZ MEDICAL CORPORATION, INC |
| NPI Number: | 1285948927 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JACQUELINE B AGUILUZ (PRESIDENT) |
| Mailing Address: | 10970 Sherman Way Burbank |
| State: | CA US |
| Postal Code: | 915051002 |
| Phone Number: | 8188471007 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2010 |
| NPI Last Update Date: | 08/05/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 20A7451 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |