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Organization
JOSE AGUILAR M.D. A, MEDICAL CORPORATION
Active
Organization
JOSE AGUILAR M.D. A, MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERASMUS DZANI KOTEY PA (PHYSICIAN ASSISTANT)
(323) 254-4100
Entity
Organization
Contact information
Practice address
6100 N FIGUEROA ST STE A, LOS ANGELES, CA 90042-3578
(323) 254-4100
(323) 254-5810
Mailing address
6100 N FIGUEROA ST STE A, LOS ANGELES, CA 90042-3578
(323) 254-4100
(323) 254-5810
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PA11297
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA11297
PHYSICIAN ASSISTANT
CA
Enumeration date
09/19/2006
Last updated
08/22/2020
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