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NPI Code Detail

MEDICARE: MRS. ELY ESTUPINIAN AGUILAR LCSW

MEDICARE: MRS. ELY ESTUPINIAN AGUILAR LCSW
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
11041C0700XClinical Social WorkerLCSW115830CA

General Provider Information

NPI Number : 1174074207
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELY ESTUPINIAN AGUILAR LCSW
Provider Business Mailing Address
First Line : 1801 S POPLAR ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-4321
Country : US
Telephone Number : 714-433-3481
Fax Number :
Provider Business Practice Location Address
First Line : 1801 S POPLAR ST
Second Line :
City : SANTA ANA
State : CA
Zip : 92704-4321
Country : US
Telephone Number : 714-433-3481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2016
Last Update Date : 02/11/2026

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