Healthcare Provider Details

I. General information

NPI: 1295837177
Provider Name (Legal Business Name): GRACIELA ESQUIVEL-AGUILAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 01/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3748 E SHIELDS AVE
FRESNO CA
93726-7028
US

IV. Provider business mailing address

3748 E SHIELDS AVE
FRESNO CA
93726-7028
US

V. Phone/Fax

Practice location:
  • Phone: 559-224-7272
  • Fax: 559-224-7290
Mailing address:
  • Phone: 559-224-7272
  • Fax: 559-224-7290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA35880
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: