Provider Demographics
NPI:1689600074
Name:ASPILLAGA, CLEOFAS LIMIAC
Entity Type:Individual
Prefix:MRS
First Name:CLEOFAS
Middle Name:LIMIAC
Last Name:ASPILLAGA
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 1:28658 FOREST MEADOW PL
Mailing Address - Street 2:
Mailing Address - City:CASTAIC
Mailing Address - State:CA
Mailing Address - Zip Code:91384-4314
Mailing Address - Country:US
Mailing Address - Phone:661-257-1577
Mailing Address - Fax:
Practice Address - Street 1:28658 FOREST MEADOW PL
Practice Address - Street 2:
Practice Address - City:CASTAIC
Practice Address - State:CA
Practice Address - Zip Code:91384-4314
Practice Address - Country:US
Practice Address - Phone:818-891-7711
Practice Address - Fax:818-895-9571
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education