Individual provider · NPI-1

Alyssa Aguilar

Rehabilitation Practitioner · Oakland, CA

NPI number1619733227
StatusActive
Last updated in NPPESDec 16, 2025

Details

NPI
1619733227
Entity type
Individual (NPI-1)
Name
Alyssa Aguilar
Sex
Female
Sole proprietor
No
Enumeration date
Feb 22, 2024
Certification date
Dec 16, 2025
Last updated
Dec 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225400000X Rehabilitation Practitioner–CAYes
175T00000X Peer Specialist–CA

Practice location

4180 Opal St Apt 17
Oakland, CA 94609-2671

Phone 760-554-9773

Mailing address

810 5th Ave Ste 100
San Rafael, CA 94901-3252

Phone 415-870-9298

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