LG Aguilar Tabora, MD Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

A106980 Issued in CA

Legal business name

LG AGUILAR TABORA, MD INC

Practice address

8650 Genessee Ave. Ste 214
#8684
San Diego, CA 92192-8684

Phone

(858) 252-8655

Fax

(619) 930-9022

NPI assigned

Mar 14, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lesly Giselle Aguilar Tabora, M.D.

Title

President

Phone

(858) 252-8655

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1489449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1225579006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 928684",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921928684",
            "telephone_number": "858-252-8655",
            "fax_number": "619-930-9022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 GENESSEE AVE. STE 214",
            "address_2": "#8684",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921928684",
            "telephone_number": "858-252-8655",
            "fax_number": "619-930-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LG AGUILAR TABORA, MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-14",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "AGUILAR TABORA",
        "authorized_official_first_name": "LESLY",
        "authorized_official_middle_name": "GISELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-252-8655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A106980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING MEDICARE",
            "identifier": "PENDING",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Thuji Lhamu, DNP, AGCNS-BC, CMSRN
• Abraham Li
• Alexandra Li
• Amber Ruoqi Li
• Bethany Li, PHARMD

• Neurology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Neurology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.