Individual provider · NPI-1

Enrique Aguilar

Community Health Worker · Oakland, CA

NPI number1487492492
StatusActive
Last updated in NPPESAug 6, 2024

Details

NPI
1487492492
Entity type
Individual (NPI-1)
Name
Enrique Aguilar
Sex
Male
Sole proprietor
No
Enumeration date
Jul 16, 2024
Certification date
Aug 6, 2024
Last updated
Aug 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker–CAYes

Practice location

1266 14th St
Oakland, CA 94607-2247

Phone 510-273-4700

Mailing address

2030 83rd Ave
Oakland, CA 94621-2214

Phone 510-606-0378

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