| Jose E Aguilar Md A Medical Corporation | |
|
1415 N Broadway Santa Ana CA 92706-3904 | |
| (626) 357-0914 | |
| (626) 357-0915 |
| Full Name | Jose E Aguilar Md A Medical Corporation |
|---|---|
| Speciality | General Practice |
| Location | 1415 N Broadway, Santa Ana, California |
| Authorized Official Name and Position | Jose E Aguilar (MEDICAL DOCTOR) |
| Authorized Official Contact | 6263579014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose E Aguilar Md A Medical Corporation 1415 N Broadway Santa Ana CA 92706-3904 Ph: (626) 357-0914 | Jose E Aguilar Md A Medical Corporation 1415 N Broadway Santa Ana CA 92706-3904 Ph: (626) 357-0914 |
| NPI Number | 1477796043 |
|---|---|
| Provider Enumeration Date | 04/13/2009 |
| Last Update Date | 04/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477796043 | NPI | - | NPPES |
| PA 11100 | Medicaid | CA | |
| A22130 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A22133 (California) | Primary |
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