MEDICARE: CESAR EMILIO AGUILUZ D.O.

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
1	208600000X	Surgery Physician	20A11848	CA
2	2086S0122X	Plastic and Reconstructive Surgery Physician	Q3137	TX
3	2086S0122X	Plastic and Reconstructive Surgery Physician	20A11848	CA

General Provider Information

NPI Number	:	1194004309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CESAR EMILIO AGUILUZ D.O.

Provider Business Mailing Address
First Line	:	10888 FOOTHILL BLVD STE 180
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91730-7651
Country	:	US
Telephone Number	:	909-463-0715
Fax Number	:	909-463-0675

Provider Business Practice Location Address
First Line	:	12499 VICTORIA GARDENS LN STE 103
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91739-7515
Country	:	US
Telephone Number	:	909-463-0715
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2011
Last Update Date	:	07/25/2024

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Directions to “ CESAR EMILIO AGUILUZ D.O.” Practice Location

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