Provider Demographics
NPI:1194004309
Name:AGUILUZ, CESAR EMILIO (DO)
Entity Type:Individual
Prefix:
First Name:CESAR
Middle Name:EMILIO
Last Name:AGUILUZ
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 1:12499 VICTORIA GARDENS LN STE 103
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-7515
Mailing Address - Country:US
Mailing Address - Phone:909-463-0715
Mailing Address - Fax:
Practice Address - Street 1:12499 VICTORIA GARDENS LN STE 103
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-7515
Practice Address - Country:US
Practice Address - Phone:909-463-0715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-05
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A11848208600000X, 2086S0122X
TXQ31372086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery