NPI Profile for GENESIS AGUILERA in COVINA, CA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Case Manager/Care Coordinator |
171M00000X |
| NPI # | 1265218259 |
|
| Status | Active | |
| Credentials | CATC III | |
| Entity | Individual | |
| Enumeration date | 09/05/2023 | |
| Last updated | 12/10/2025 - About 6 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GENESIS AGUILERA
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