Individual
HILARY AQUINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 MARENGO ST, SECOND 2ND FLOOR, LOS ANGELES, CA 90033-1317
(323) 276-6450
Mailing address
8334 DAVIS ST, DOWNEY, CA 90241-4919
(562) 965-4434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265520183
—
CA
05
—
1306922554
—
CA
05
—
1841342318
—
CA
Enumeration date
09/28/2007
Last updated
05/19/2015
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