Individual
OLIVER JALDO TANGUILAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11653 OXFORD CT, ADELANTO, CA 92301-3697
(442) 249-1243
Mailing address
11653 OXFORD CT, ADELANTO, CA 92301-3697
(442) 249-1243
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
6069271740
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212015179
CALIFORNIA REAL ESTATE
CA
01
—
6069271740
DEPARTMENT OF SOCIAL SERVICES COMMUNITY CARE LICENSING DIVISION
CA
Enumeration date
04/13/2026
Last updated
04/13/2026
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