Individual provider · NPI-1
Carlos Aguilera
Case Manager/Care Coordinator · Riverside, CA
NPI number1306535984
StatusActive
Last updated in NPPESMay 23, 2023
Details
- NPI
- 1306535984
- Entity type
- Individual (NPI-1)
- Name
- Carlos Aguilera
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2023
- Certification date
- May 23, 2023
- Last updated
- May 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
10281 Kidd StRiverside, CA 92503-3469
Phone 951-715-5050
Mailing address
632 Shadybrook Ln Apt 113Corona, CA 92879-6547
Phone 323-377-7946
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