Individual
MR. CARLOS EDUARDO JUAREZ AGUILAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OCCUPATIONAL THERAPI
Contact information
Practice address
4601 S BROADWAY, LOS ANGELES, CA 90037-2729
(323) 803-3881
Mailing address
4601 S BROADWAY, LOS ANGELES, CA 90037-2729
(323) 803-3881
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
Primary
20728
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/13/2017
Last updated
07/07/2023
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