Aguilar Tabora, Lesly Giselle
Aguilar Tabora, Lesly Giselle is an sole proprietor health care provider with primary practice located at 9888 Genesee Ave , La Jolla CA 92037-1205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Aguilar Tabora, Lesly Giselle can be contacted via phone (619) 754-4955.Contact Information
Primary practice address
9888 Genesee Ave
La Jolla CA 92037-1205
Phone: (619) 754-4955
Fax: (619) 785-3296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | M6998 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME107506 | Florida |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A106980 | California |
Profile Details
| NPI number | 1467638601 |
|---|---|
| LBN Legal business name | Aguilar Tabora, Lesly Giselle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2008 |
| Last updated | Oct 26th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467638601 | NPPES |
| Texas | MEDICAID | 192403701 |
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