Provider Demographics
NPI:1184018079
Name:EREZ, AARON (DO)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:EREZ
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8642 VILLA LA JOLLA DR UNIT 1
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-2367
Mailing Address - Country:US
Mailing Address - Phone:301-706-0716
Mailing Address - Fax:971-228-5412
Practice Address - Street 1:8642 VILLA LA JOLLA DR UNIT, #1
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-2367
Practice Address - Country:US
Practice Address - Phone:858-255-0770
Practice Address - Fax:971-228-5412
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-27
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR186248207Q00000X
CA20A18844207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine