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Individual

PAIBEL IXIA AGUAYO-HIRALDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4650 W SUNSET BLVD # M54, LOS ANGELES, CA 90027
(323) 660-2450
Mailing address
3701 WILSHIRE BLVD STE 600, LOS ANGELES, CA 90010-2814
(323) 361-3550
(323) 361-8052

Taxonomy

Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
159404
CA
2080P0207X
Pediatric Hematology & Oncology Physician
BP10045654
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10045654
TX
390200000X
Student in an Organized Health Care Education/Training Program
MD2013-0827
NM
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/09/2009
Last updated
12/06/2018
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