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Organization
JACQUELINE B. AGUILUZ, D.O. INC
Active
Organization
JACQUELINE B. AGUILUZ, D.O. INC
Active
Other names
Towne Center Family Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELINE B. AGUILUZ D.O. (PRESIDENT)
56286552214
Entity
Organization
Contact information
Practice address
21508 NORWALK BLVD, HAWAIIAN GARDENS, CA 90716-1122
(562) 865-5214
(562) 865-3619
Mailing address
21508 NORWALK BLVD, HAWAIIAN GARDENS, CA 90716-1122
(562) 865-5214
(562) 865-3619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A7451
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX74510
—
CA
Enumeration date
07/29/2006
Last updated
01/31/2008
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