Individual
SANDY AGUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4401 ELENDA ST, CULVER CITY, CA 90230-4101
(310) 842-4200
(310) 842-4305
Mailing address
4401 ELENDA ST, CULVER CITY, CA 90230-4101
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
95095096
CA
163WS0200X
School Registered Nurse
95095096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
N/A
CA
Enumeration date
12/09/2019
Last updated
12/09/2019
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