Organization
DR SHANA NOBLE AGUILAR OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANA NOBLE AGUILAR OD (OWNER PRESIDENT OF CORPORATION)
(562) 822-9333
Entity
Organization
Contact information
Practice address
5138 IMPERIAL HWY, LYNWOOD, CA 90262
(310) 638-3800
(310) 638-3833
Mailing address
5138 IMPERIAL HWY, LYNWOOD, CA 90262
(310) 638-3800
(310) 638-3833
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12634T
CA
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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