Healthcare Provider Details

I. General information

NPI: 1306751250
Provider Name (Legal Business Name): ITZELA AGUILERA CORONA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 HELENA WAY APT 3
OXNARD CA
93033-7695
US

IV. Provider business mailing address

401 HELENA WAY APT 3
OXNARD CA
93033-7695
US

V. Phone/Fax

Practice location:
  • Phone: 805-843-2799
  • Fax:
Mailing address:
  • Phone: 805-843-2799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number757291
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: