Organization
JOSE E AGUILAR MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE E AGUILAR MD (MEDICAL DOCTOR)
(626) 357-9014
Entity
Organization
Contact information
Practice address
1415 N BROADWAY, SANTA ANA, CA 92706-3904
(626) 357-0914
(626) 357-0915
Mailing address
1415 N BROADWAY, SANTA ANA, CA 92706-3904
(626) 357-0914
(626) 357-0915
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A22133
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A22130
—
CA
05
—
PA 11100
—
CA
Enumeration date
04/13/2009
Last updated
04/13/2009
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