Organization
LG AGUILAR TABORA, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLY GISELLE AGUILAR TABORA M.D. (PRESIDENT)
(858) 252-8655
Entity
Organization
Contact information
Practice address
8650 GENESSEE AVE. STE 214, #8684, SAN DIEGO, CA 92192-8684
(858) 252-8655
(619) 930-9022
Mailing address
PO BOX 928684, SAN DIEGO, CA 92192-8684
(858) 252-8655
(619) 930-9022
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A106980
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
PENDING MEDICARE
CA
Enumeration date
03/14/2017
Last updated
12/28/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us