Individual provider · NPI-1

Jack Aguilar, MD

Internal Medicine, Cardiovascular Disease · Torrance, CA

NPI number1417440199
StatusActive
Last updated in NPPESMay 12, 2024

Details

NPI
1417440199
Entity type
Individual (NPI-1)
Name
Jack Aguilar
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 7, 2018
Certification date
May 12, 2024
Last updated
May 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RC0000X Internal Medicine, Cardiovascular DiseaseA166084CAYes
207R00000X Internal MedicineA166084CA
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

1124 W Carson St
Torrance, CA 90502-2006

Phone 424-306-8849

Mailing address

8700 Beverly Blvd Ste 5512
West Hollywood, CA 90048-1804

Phone 310-987-6754

Other practice locations

8700 Beverly Blvd Ste 5512
West Hollywood, CA 90048-1804

Phone 310-423-5161

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