NPI 1760779433 · live from the CMS NPI Registry
Olivia Martinez Aguilar, NP
Nurse Practitioner, Family in Santa Ana, CA. National Provider Identifier 1760779433, active.
NPI record
| NPI | 1760779433 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 1629 W 17th St Ste A, Santa Ana, CA 92706 |
| Practice phone | 714-972-2111 |
| Mailing address | 2365 Medlar Rd, Tustin, CA 92780 |
| Enumerated | July 1, 2011 |
| Last updated | July 1, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Family primary | 363LF0000X | 356907 (CA) |
| Nurse Practitioner, Obstetrics & Gynecology | 363LX0001X | 356907 (CA) |
| Clinical Nurse Specialist, Pediatrics | 364SP0200X | 356907 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.