Provider Demographics
NPI:1730291287
Name:AGUILAR, DAVID GILBERT (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:GILBERT
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7705 SEVILLE AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-6315
Mailing Address - Country:US
Mailing Address - Phone:323-582-6534
Mailing Address - Fax:323-582-6950
Practice Address - Street 1:7705 SEVILLE AVE
Practice Address - Street 2:SUITE D
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-6315
Practice Address - Country:US
Practice Address - Phone:323-582-6534
Practice Address - Fax:323-582-6950
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG66921208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics