Renee Aguilar

Individual provider Active NPI Speech-Language Assistant · Laguna Hills, CA

NPI 1003360165 · NPPES record last updated Aug 6, 2016

Key facts

NPI
1003360165
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
SPA1813 (CA)
Practice address
23441 S Pointe Dr
Suite 245
Laguna Hills, CA 92653-1549
Phone
(949) 305-0325
Fax
(949) 305-0375
NPI assigned
Aug 6, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SPA1813CAMDSpeech-Language Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SPA1813 CA Yes

Addresses

Primary practice location

23441 S Pointe Dr
Suite 245
Laguna Hills, CA 92653-1549

Mailing address

23441 S Pointe Dr
Suite 245
Laguna Hills, CA 92653-1549
Phone (949) 305-0325

Other providers in Laguna Hills, CA

All providers in Laguna Hills, CA · Speech-Language Assistant in California

Sources for this page

Verify at the official NPI Registry.