Claudia Alcantar Aguilar

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Watts, CA

NPI 1760688154 · NPPES record last updated Aug 8, 2013

Key facts

NPI
1760688154
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
10221 Compton Ave Ste 104
Watts, CA 90002-2805
Phone
(310) 783-4677
NPI assigned
Jun 22, 2007
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

10221 Compton Ave Ste 104
Watts, CA 90002-2805

Mailing address

1348 N Sierra Bonita Ave Apt 209
West Hollywood, CA 90046-8528
Phone (559) 530-4321

Other providers in Watts, CA

All providers in Watts, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.