Healthcare Provider Details

I. General information

NPI: 1356291058
Provider Name (Legal Business Name): DR. CHRISTIAN AQUINO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27206 CALAROGA AVE STE 216
HAYWARD CA
94545-4300
US

IV. Provider business mailing address

27206 CALAROGA AVE STE 216
HAYWARD CA
94545-4300
US

V. Phone/Fax

Practice location:
  • Phone: 510-947-6939
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number113246
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: