Provider Demographics
NPI:1134463532
Name:AGUILA, ILIANA AIMEE (MD)
Entity Type:Individual
Prefix:
First Name:ILIANA
Middle Name:AIMEE
Last Name:AGUILA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ILIANA
Other - Middle Name:AGUILA
Other - Last Name:CHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1860 HAMNER AVE
Mailing Address - Street 2:
Mailing Address - City:NORCO
Mailing Address - State:CA
Mailing Address - Zip Code:92860-2945
Mailing Address - Country:US
Mailing Address - Phone:951-479-0070
Mailing Address - Fax:951-479-0073
Practice Address - Street 1:1860 HAMNER AVE
Practice Address - Street 2:
Practice Address - City:NORCO
Practice Address - State:CA
Practice Address - Zip Code:92860-2945
Practice Address - Country:US
Practice Address - Phone:951-479-0070
Practice Address - Fax:951-479-0073
Is Sole Proprietor?:No
Enumeration Date:2012-11-26
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0000000000207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine