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NPI Code Detail

MEDICARE: ARACELI AGUIRRE

MEDICARE: ARACELI AGUIRRE
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1679060453
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARACELI AGUIRRE
Provider Business Mailing Address
First Line : 3128 LA CLEDE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90039-2445
Country : US
Telephone Number : 323-474-4065
Fax Number :
Provider Business Practice Location Address
First Line : 18646 OXNARD ST
Second Line :
City : TARZANA
State : CA
Zip : 91356-1486
Country : US
Telephone Number : 888-777-8565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2018
Last Update Date : 04/17/2018

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Directions to “ ARACELI AGUIRRE ” Practice Location

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