Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 5281 | CA |
Y | 222Z00000X | Podiatrist | 5281 | CA |
N | 224P00000X | Prosthetist | 3476 | CA |
NPI | 1073944633 |
---|---|
Provider Name | Mrs. Lindsay Aguilar I |
First Address | Pomona, CA 91767-1926 |
Second Address | Pomona, CA 91767-1926 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/12/2013 |
Last Update Date | 20/04/2016 |