Provider Demographics
NPI:1285930651
Name:AGUILAR, DINO JAY
Entity type:Individual
Prefix:
First Name:DINO
Middle Name:JAY
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10231 PINEWOOD AVE
Mailing Address - Street 2:APT 10
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2486
Mailing Address - Country:US
Mailing Address - Phone:818-353-1987
Mailing Address - Fax:
Practice Address - Street 1:10231 PINEWOOD AVE
Practice Address - Street 2:APT 10
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2486
Practice Address - Country:US
Practice Address - Phone:818-353-1987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)