Provider Demographics
NPI:1477911378
Name:AGUILERA, APRIL
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:
Last Name:AGUILERA
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 1:716 DATE ST
Mailing Address - Street 2:APT#BH
Mailing Address - City:MONTEBELLO
Mailing Address - State:CA
Mailing Address - Zip Code:90640-6107
Mailing Address - Country:US
Mailing Address - Phone:323-803-8179
Mailing Address - Fax:
Practice Address - Street 1:716 DATE ST
Practice Address - Street 2:APT#BH
Practice Address - City:MONTEBELLO
Practice Address - State:CA
Practice Address - Zip Code:90640-6107
Practice Address - Country:US
Practice Address - Phone:323-803-8179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)