Provider Demographics
NPI:1831127869
Name:AGUILAR, NORMA R (MD)
Entity Type:Individual
Prefix:MRS
First Name:NORMA
Middle Name:R
Last Name:AGUILAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 E. COMPTON BLVD.
Mailing Address - Street 2:COMPTON MENTAL HEALTH CLINIC
Mailing Address - City:COMPTON
Mailing Address - State:CA
Mailing Address - Zip Code:90221
Mailing Address - Country:US
Mailing Address - Phone:310-668-6800
Mailing Address - Fax:310-898-3474
Practice Address - Street 1:921 E. COMPTON BLVD.
Practice Address - Street 2:COMPTON MENTAL HEALTH CLINIC
Practice Address - City:COMPTON
Practice Address - State:CA
Practice Address - Zip Code:90221
Practice Address - Country:US
Practice Address - Phone:310-668-6800
Practice Address - Fax:310-898-3474
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA370602084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A370600Medicare ID - Type Unspecified
A84957Medicare UPIN