Individual provider · NPI-1

Manuel Aguilar

Rehabilitation Practitioner · Orange, CA

NPI number1023705308
StatusActive
Last updated in NPPESAug 19, 2026

Details

NPI
1023705308
Entity type
Individual (NPI-1)
Name
Manuel Aguilar
Sex
Male
Sole proprietor
No
Enumeration date
Apr 18, 2023
Certification date
Aug 19, 2026
Last updated
Aug 19, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner–CAYes
106S00000X Behavior Technician––
373H00000X Day Training/Habilitation Specialist–CA
101YM0800X Counselor, Mental Health––

Practice location

401 S Tustin St Bldg D
Orange, CA 92866-2550

Phone 714-289-3936

Mailing address

401 S Tustin St Bldg D
Orange, CA 92866-2550

Phone 714-289-3936

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