Provider Demographics
NPI:1760688154
Name:AGUILAR, CLAUDIA ALCANTAR
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:ALCANTAR
Last Name:AGUILAR
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 1:1348 N SIERRA BONITA AVE APT 209
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-8528
Mailing Address - Country:US
Mailing Address - Phone:559-530-4321
Mailing Address - Fax:
Practice Address - Street 1:10221 COMPTON AVE STE 104
Practice Address - Street 2:
Practice Address - City:WATTS
Practice Address - State:CA
Practice Address - Zip Code:90002-2805
Practice Address - Country:US
Practice Address - Phone:310-783-4677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program