Healthcare Provider Details

I. General information

NPI: 1881308823
Provider Name (Legal Business Name): CAROLINE AGUIRRE GO FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CAROLINE MARTINEZ AGUIRRE

II. Dates (important events)

Enumeration Date: 01/12/2023
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2655 1ST ST STE 380
SIMI VALLEY CA
93065-1551
US

IV. Provider business mailing address

5767 W CENTURY BLVD STE 400
LOS ANGELES CA
90045-5631
US

V. Phone/Fax

Practice location:
  • Phone: 805-583-7640
  • Fax:
Mailing address:
  • Phone: 310-301-5200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95023372
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95023372
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: