Healthcare Provider Details

I. General information

NPI: 1184723157
Provider Name (Legal Business Name): DAVID CHARLES AGUILAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7300 N FRESNO ST
FRESNO CA
93720-2941
US

IV. Provider business mailing address

10326 N FOWLER AVE
CLOVIS CA
93619-8690
US

V. Phone/Fax

Practice location:
  • Phone: 559-448-5300
  • Fax:
Mailing address:
  • Phone: 559-916-1644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA91201
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA91201
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: