Provider Demographics
NPI:1780016071
Name:AGUILAR, JIMMY STEVE
Entity Type:Individual
Prefix:MR
First Name:JIMMY
Middle Name:STEVE
Last Name:AGUILAR
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 1:22710 8TH ST
Mailing Address - Street 2:APT 204-A
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-2947
Mailing Address - Country:US
Mailing Address - Phone:661-373-1033
Mailing Address - Fax:
Practice Address - Street 1:828 W VENTURA ST
Practice Address - Street 2:
Practice Address - City:FILLMORE
Practice Address - State:CA
Practice Address - Zip Code:93015-1876
Practice Address - Country:US
Practice Address - Phone:805-524-2000
Practice Address - Fax:805-524-9601
Is Sole Proprietor?:No
Enumeration Date:2013-08-08
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist