Provider Demographics
NPI:1497531685
Name:ARISTIMUNO, HECTOR DANIEL
Entity Type:Individual
Prefix:MR
First Name:HECTOR
Middle Name:DANIEL
Last Name:ARISTIMUNO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2452 MILLSTREAM LN
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582-2801
Mailing Address - Country:US
Mailing Address - Phone:925-719-2309
Mailing Address - Fax:
Practice Address - Street 1:1990 N CALIFORNIA BLVD FL 8
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-3742
Practice Address - Country:US
Practice Address - Phone:925-719-2309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246R00000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Pathology