Healthcare Provider Details

I. General information

NPI: 1831127869
Provider Name (Legal Business Name): NORMA R AGUILAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2006
Last Update Date: 06/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 E. COMPTON BLVD. COMPTON MENTAL HEALTH CLINIC
COMPTON CA
90221
US

IV. Provider business mailing address

921 E. COMPTON BLVD. COMPTON MENTAL HEALTH CLINIC
COMPTON CA
90221
US

V. Phone/Fax

Practice location:
  • Phone: 310-668-6800
  • Fax: 310-898-3474
Mailing address:
  • Phone: 310-668-6800
  • Fax: 310-898-3474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA37060
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: