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Contact Information

ETHAN A AGUILAR BRAVO
1075 E BETTERAVIA RD STE 201
SANTA MARIA, CA93454-7023
 Phone: 805-621-7714
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Respiratory Therapist, Registered

227900000X
Indicates primary specialty

NPI Profile & details for ETHAN A AGUILAR BRAVO · (Male)

NPI Number 1881464519
Status Active
Credentials
Entity Individual
Enumeration date 01/04/2024
Last updated 02/06/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 42870
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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