Organization Name: | JOSE E AGUILAR MD A MEDICAL CORPORATION |
NPI Number: | 1477796043 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE E AGUILAR (MEDICAL DOCTOR) |
Mailing Address: | 1415 N Broadway Santa Ana |
State: | CA US |
Postal Code: | 927063904 |
Phone Number: | 6263570914 |
Fax Number: | 6263570915 |
NPI Enumeration Date: | 04/13/2009 |
NPI Last Update Date: | 04/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A22133 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |