# JOSE E AGUILAR MD A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477796043
- **Authorized official:** DR. JOSE E AGUILAR MD (MEDICAL DOCTOR)
- **Authorized official phone:** (626) 357-9014

## Contact information

- **Practice address:** 1415 N BROADWAY, SANTA ANA, CA 92706-3904
- **Practice address phone:** (626) 357-0914
- **Practice address fax:** (626) 357-0915
- **Mailing address:** 1415 N BROADWAY, SANTA ANA, CA 92706-3904
- **Mailing address phone:** (626) 357-0914
- **Mailing address fax:** (626) 357-0915

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A22133 | CA | Yes |

## Other

- **Enumeration date:** 04/13/2009
- **Last updated:** 04/13/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | A22130 | — | CA |
| 05 | — | PA 11100 | — | CA |