Individual
ANDY AGUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5190 ATLANTIC AVE, LONG BEACH, CA 90805-6510
(562) 428-4111
Mailing address
5190 ATLANTIC AVE, LONG BEACH, CA 90805-6510
(562) 428-4111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
12/31/2019
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