Patient | Niza Aguilar | Preferred Language | Unspecified |
Date of birth | August 2, 1990 | Sex | Female |
Race | Other
|
Ethnicity | Hispanic or Latino |
Contact info | Home:
6201 Hollywood Blvd Los Angeles, CA 90028, US Tel (Mobile): +1(702)-882-1541 Tel (Primary Home): +1(702)-882-1541 Mail: n.aguilar08@yahoo.com |
Patient IDs | 1148699 2.16.840.1.113883.3.3710.999.44.88800115636.7770000101
618389439 2.16.840.1.113883.4.1 MM0000000266 2.16.840.1.113883.3.3710.3 MODMED 2.16.840.1.113883.3.3710.200.501 115636PAT000000272 2.16.840.1.113883.3.3710.200.500 |
Document Id | test-id-577990004 2.16.840.1.113883.3.3710.0 |
Document Created: | April 7, 2024, 16:35:23 +0000 |
Performer | Jaime Schwartz |
Author | Diana Tagaban, Jaime S. Schwartz, MD |
Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |
Encounter Id | 1094415 2.16.840.1.113883.3.3710.999.44.88800115636.7770000111 | ||
Encounter Date | From June 20, 2023 | ||
Encounter Participant | Jaime Schwartz | ||
Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |
Legal authenticator | Diana Tagaban signed at April 7, 2024, 16:35:23 +0000 |
Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |
Document maintained by | Jaime S. Schwartz, MD |
Contact info | Work Place:
240 S La Cienega Blvd Ste 200 Beverly Hills, CA 902113324, US Tel (Work Place): 3108825454 |