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PHILLIP AGUILAR D.O

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1376916155

Individual Registrant:
 PHILLIP  AGUILAR D.O
Gender: M
Sole Proprietor

Location and contact information for practice:
546 S CITRON ST  ANAHEIM, CA 92805-4420 US
Tel: 714-400-4573  Fax: --

Contact information for business:
546 S CITRON ST  ANAHEIM, CA 92805-4420 US
Tel: 714-400-4573  Fax: --

Registration Information:
NPI: 1376916155
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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