Provider Demographics
NPI:1801967393
Name:AGUILAR, ALBERTO (RNP)
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:RNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1433 FOREST GLEN DR
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-3079
Mailing Address - Country:US
Mailing Address - Phone:626-965-3513
Mailing Address - Fax:
Practice Address - Street 1:4129 GAGE AVE
Practice Address - Street 2:
Practice Address - City:BELL
Practice Address - State:CA
Practice Address - Zip Code:90201-1128
Practice Address - Country:US
Practice Address - Phone:323-589-0916
Practice Address - Fax:323-589-8569
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP15321363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily