Individual
DR. JOSE LUIS AGUILAR JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 N PEPPER AVE, COLTON, CA 92324-1819
(909) 580-1000
Mailing address
12460 CALIFORNIA ST UNIT 1224, YUCAIPA, CA 92399-8757
(760) 406-1061
(760) 280-0238
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
A122466
CA
2084P0800X
Psychiatry Physician
Primary
A122466
CA
Other
Enumeration date
07/23/2011
Last updated
07/04/2022
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