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MS. OLIVIA MARTINEZ AGUILAR NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1760779433

Individual Registrant:
MS. OLIVIA MARTINEZ AGUILAR NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1629 W 17TH ST STE A  SANTA ANA, CA 92706-3335 US
Tel: 714-972-2111  Fax: 714-972-2045

Contact information for business:
2365 MEDLAR RD  TUSTIN, CA 92780-6820 US
Tel: 714-730-9674  Fax: --

Registration Information:
NPI: 1760779433
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA356907
N363LX0001XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA356907
N364SP0200XPhysician Assistants & Advanced Practice Nursing Providers
Clinical Nurse Specialist
CA356907

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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