Individual
JACK AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1124 W CARSON ST, TORRANCE, CA 90502-2006
(424) 306-8849
Mailing address
8700 BEVERLY BLVD STE 5512, WEST HOLLYWOOD, CA 90048-1804
(310) 987-6754
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A166084
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A166084
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2018
Last updated
05/12/2024
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