Provider Demographics
NPI:1902430218
Name:ESTRELLA AZURIN AGUINALDO, M.D., INC.
Entity Type:Organization
Organization Name:ESTRELLA AZURIN AGUINALDO, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ESTRELLA
Authorized Official - Middle Name:AZURIN
Authorized Official - Last Name:AGUINALDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-233-2555
Mailing Address - Street 1:23517 MAIN ST STE 104
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-5235
Mailing Address - Country:US
Mailing Address - Phone:310-233-2555
Mailing Address - Fax:
Practice Address - Street 1:23517 MAIN ST STE 104
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-5235
Practice Address - Country:US
Practice Address - Phone:310-233-2555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty