Healthcare Provider Details

I. General information

NPI: 1629552518
Provider Name (Legal Business Name): DR. ANGEL AGUILAR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2018
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 31001
PASADENA CA
91110-4141
US

IV. Provider business mailing address

9027 N INDIAN TRAIL RD
SPOKANE WA
99208-9116
US

V. Phone/Fax

Practice location:
  • Phone: 888-227-3312
  • Fax: 509-227-7070
Mailing address:
  • Phone: 888-227-3312
  • Fax: 509-227-7070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60892912
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: