Provider Demographics
NPI:1881308823
Name:GO, CAROLINE AGUIRRE (FNP)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:AGUIRRE
Last Name:GO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:MARTINEZ
Other - Last Name:AGUIRRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5767 W CENTURY BLVD STE 400
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90045-5631
Mailing Address - Country:US
Mailing Address - Phone:310-301-5200
Mailing Address - Fax:
Practice Address - Street 1:2655 1ST ST STE 380
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-1551
Practice Address - Country:US
Practice Address - Phone:805-583-7640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95023372363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily