Individual
ALYSSA AGUILAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4180 OPAL ST APT 17, OAKLAND, CA 94609-2671
(760) 554-9773
Mailing address
810 5TH AVE STE 100, SAN RAFAEL, CA 94901-3252
(415) 870-9298
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
CA
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
02/22/2024
Last updated
12/16/2025
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