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NPI Code Detail

MEDICARE: KRYSTLE AGUILAR

MEDICARE:   KRYSTLE  AGUILAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor

General Provider Information

NPI Number : 1073764551
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTLE AGUILAR
Provider Business Mailing Address
First Line : 1350 LEYTE RD
Second Line :
City : CORONADO
State : CA
Zip : 92118-3124
Country : US
Telephone Number : 619-522-8934
Fax Number :
Provider Business Practice Location Address
First Line : 2535 KETTNER BLVD
Second Line : SUITE 1A4
City : SAN DIEGO
State : CA
Zip : 92101-1250
Country : US
Telephone Number : 619-615-0701
Fax Number : 619-615-0705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2008
Last Update Date : 01/30/2026

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Directions to “ KRYSTLE AGUILAR ” Practice Location

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