Provider Demographics
NPI:1003360165
Name:AGUILAR, RENEE
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23441 S POINTE DR
Mailing Address - Street 2:SUITE 245
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-1549
Mailing Address - Country:US
Mailing Address - Phone:949-305-0325
Mailing Address - Fax:949-305-0375
Practice Address - Street 1:23441 S POINTE DR
Practice Address - Street 2:SUITE 245
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-1549
Practice Address - Country:US
Practice Address - Phone:949-305-0325
Practice Address - Fax:949-305-0375
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-06
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPA18132355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant