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Contact Information

SHANE LENRE C AVILA, NP
4910 AIRPORT PLAZA DR STE 100
LONG BEACH, CA90815-1377
 Phone: 562-429-2473
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SHANE LENRE C AVILA · (Male)

NPI Number 1740607167
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 03/24/2014
Last updated 03/06/2026 - About 3 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 95000320
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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