Provider Demographics
NPI:1326421025
Name:AGUILAR, VERONICA (SRN)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:SRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1210 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92831-3302
Mailing Address - Country:US
Mailing Address - Phone:310-938-2185
Mailing Address - Fax:
Practice Address - Street 1:1210 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3302
Practice Address - Country:US
Practice Address - Phone:310-938-2185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program