Mario Jose Aguirre Jr.

Individual provider Active NPI Case Manager/Care Coordinator · Desert Hot Springs, CA

NPI 1720835689 · NPPES record last updated Jul 29, 2024

Key facts

NPI
1720835689
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
14320 Palm Dr
Desert Hot Springs, CA 92240-6874
Phone
(760) 863-8258
NPI assigned
Apr 30, 2024
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

14320 Palm Dr
Desert Hot Springs, CA 92240-6874

Mailing address

14320 Palm Dr
Desert Hot Springs, CA 92240-6874
Phone (760) 863-8258

Other names

  • Mr. Mario Jose Aguirre Jr. Other name

Other providers in Desert Hot Springs, CA

All providers in Desert Hot Springs, CA · Case Manager/Care Coordinator in California

Sources for this page

Verify at the official NPI Registry.