Individual provider · NPI-1

Jessica Aguilar

Community Health Worker · Los Angeles, CA

NPI number1730903642
StatusActive
Last updated in NPPESApr 28, 2025

Details

NPI
1730903642
Entity type
Individual (NPI-1)
Name
Jessica Aguilar
Sex
Female
Sole proprietor
No
Enumeration date
Nov 8, 2024
Certification date
Apr 28, 2025
Last updated
Apr 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes
373H00000X Day Training/Habilitation Specialist––

Practice location

5700 Wilshire Blvd Ste 560
Los Angeles, CA 90036-5418

Phone 213-637-5000

Mailing address

5700 Wilshire Blvd Ste 560
Los Angeles, CA 90036-5418

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