Individual
CARLOS ALBERTO AGUNDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
73 N 2ND AVE STE B, CHULA VISTA, CA 91910-1124
(619) 426-4801
Mailing address
73 N 2ND AVE STE B, CHULA VISTA, CA 91910-1124
(619) 426-4801
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801248554
—
CA
Enumeration date
02/25/2019
Last updated
02/25/2019
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