Individual provider · NPI-1

Johnathan Dana Jay Aguirre

Technician · San Diego, CA

NPI number1609574748
StatusActive
Last updated in NPPESFeb 17, 2023

Details

NPI
1609574748
Entity type
Individual (NPI-1)
Name
Johnathan Dana Jay Aguirre
Sex
Male
Sole proprietor
No
Enumeration date
Feb 17, 2023
Certification date
Feb 17, 2023
Last updated
Feb 17, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374700000X Technician––Yes

Practice location

4050 3rd Ave Apt 416
San Diego, CA 92103-2135

Phone 619-581-9153

Mailing address

4050 3rd Ave Apt 416
San Diego, CA 92103-2135

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Technician providers in San Diego, CA