Individual
JOHANNA AGUILAR ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10010 CAMPUS POINT DR # 305, SAN DIEGO, CA 92121-1518
(619) 691-7117
Mailing address
PO BOX 721536, SAN DIEGO, CA 92172-1536
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A127188
CA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
A127188
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2012
Last updated
11/30/2021
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