Search › California › 363L00000X
Johnny Agustin, NP
NPI 1174704845 · on the registry since 2007
Practice
- Address
- 565 Kern St
Shafter, CA 93263 - Phone
- (661) 746-4937
- Organisation at this address
- Jae J. Kim, M.D.
Vanguard Medical CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 163WC1500X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California