Provider Demographics
NPI:1366544371
Name:AGUILAR, GABRIEL LINTON (MD)
Entity type:Individual
Prefix:
First Name:GABRIEL
Middle Name:LINTON
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:GARY
Other - Middle Name:
Other - Last Name:AGUILAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:909 HYDE STREET
Mailing Address - Street 2:SUITE 530
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109
Mailing Address - Country:US
Mailing Address - Phone:415-775-3392
Mailing Address - Fax:415-776-7456
Practice Address - Street 1:909 HYDE STREET
Practice Address - Street 2:SUITE 530
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109
Practice Address - Country:US
Practice Address - Phone:415-775-3392
Practice Address - Fax:415-776-7456
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG32877207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A45328Medicare UPIN
3899210001Medicare NSC
CA00G328770Medicare ID - Type Unspecified
00G328770Medicare ID - Type Unspecified