Provider Demographics
NPI:1033008115
Name:AGUILAR, FABIAN NICK (NREMT)
Entity type:Individual
Prefix:
First Name:FABIAN
Middle Name:NICK
Last Name:AGUILAR
Suffix:
Gender:M
Credentials:NREMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5556 TANGERINE AVE
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92544-4558
Mailing Address - Country:US
Mailing Address - Phone:951-447-9155
Mailing Address - Fax:
Practice Address - Street 1:5556 TANGERINE AVE
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92544-4558
Practice Address - Country:US
Practice Address - Phone:951-447-9155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician