Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 8315898-1205 | UT |
Y | 207X00000X | Orthopaedic Surgeon | A105392 | CA |
NPI | 1023295292 |
---|---|
Provider Name | Dr. Ramon Aguilera Grijalva JR. |
First Address | Riverside, CA 92505-3043 |
Second Address | Riverside, CA 92505-3043 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2008 |
Last Update Date | 06/12/2021 |