Basic Information
Provider Information
NPI: 1831127869
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AGUILAR
FirstName: NORMA
MiddleName: R
NamePrefix: MRS.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 921 E. COMPTON BLVD.
Address2: COMPTON MENTAL HEALTH CLINIC
City: COMPTON
State: CA
PostalCode: 90221
CountryCode: US
TelephoneNumber: 3106686800
FaxNumber: 3108983474
Practice Location
Address1: 921 E. COMPTON BLVD.
Address2: COMPTON MENTAL HEALTH CLINIC
City: COMPTON
State: CA
PostalCode: 90221
CountryCode: US
TelephoneNumber: 3106686800
FaxNumber: 3108983474
Other Information
ProviderEnumerationDate: 06/29/2006
LastUpdateDate: 06/29/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0800XA37060CAY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry

No ID Information.


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