Provider Demographics
NPI:1306853254
Name:FELIX AGUILAR MD INC
Entity type:Organization
Organization Name:FELIX AGUILAR MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUILAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-943-9941
Mailing Address - Street 1:701 W VALLEY BLVD STE 33
Mailing Address - Street 2:
Mailing Address - City:ALHAMBRA
Mailing Address - State:CA
Mailing Address - Zip Code:91803-3200
Mailing Address - Country:US
Mailing Address - Phone:626-943-7741
Mailing Address - Fax:626-943-9946
Practice Address - Street 1:701 W VALLEY BLVD STE 33
Practice Address - Street 2:
Practice Address - City:ALHAMBRA
Practice Address - State:CA
Practice Address - Zip Code:91803-3200
Practice Address - Country:US
Practice Address - Phone:626-943-7741
Practice Address - Fax:626-943-9946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64940207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI34684Medicare UPIN