Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 20A11848 | CA |
N | 208600000X | Surgeon | 20A11848 | CA |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 20A11848 | CA |
N | 2086S0122X | Plastic and Reconstructive Surgery | Q3137 | TX |
NPI | 1194004309 |
---|---|
Provider Name | Cesar Emilio Aguiluz |
First Address | Rancho Cucamonga, CA 91739-7515 |
Second Address | Rancho Cucamonga, CA 91739-7515 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2011 |
Last Update Date | 18/12/2020 |