Individual
AMABLE R AGUILUZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21500 PIONEER BLVD, SUITE 209, HAWAIIAN GARDENS, CA 90716-2600
(562) 402-4151
(562) 402-6533
Mailing address
8 BAYVIEW DR, BUENA PARK, CA 90621-1677
(714) 994-4009
(714) 994-4009
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
A33886
CA
207Q00000X
Family Medicine Physician
A33886
CA
208D00000X
General Practice Physician
Primary
A33886
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A33886
MEDICAL LICENSE
CA
Enumeration date
01/04/2007
Last updated
11/08/2011
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