Individual
JORGE M DEL AGUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
480 4TH AVE STE 211, CHULA VISTA, CA 91910-4412
(619) 422-2000
(619) 422-2961
Mailing address
480 4TH AVE STE 211, CHULA VISTA, CA 91910-4412
(619) 422-2000
(619) 422-2961
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A34371
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A343710
—
CA
Enumeration date
08/17/2006
Last updated
07/08/2007
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