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NPI Code Detail

MEDICARE: MISS RUTH NOHEMI AGUILAR-WONG PA-C

MEDICARE: MISS RUTH NOHEMI AGUILAR-WONG PA-C
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
1363A00000XPhysician Assistant54661CA

General Provider Information

NPI Number : 1699298190
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS RUTH NOHEMI AGUILAR-WONG PA-C
Provider Business Mailing Address
First Line : 1245 NEPTUNE DR
Second Line :
City : CHULA VISTA
State : CA
Zip : 91911-3718
Country : US
Telephone Number : 619-456-1884
Fax Number :
Provider Business Practice Location Address
First Line : 22 W 35TH ST STE 101
Second Line :
City : NATIONAL CITY
State : CA
Zip : 91950-7926
Country : US
Telephone Number : 619-427-3361
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2017
Last Update Date : 04/02/2025

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Directions to “ MISS RUTH NOHEMI AGUILAR-WONG PA-C” Practice Location

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