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Contact Information

NOEMI AVILA
11980 MOUNT VERNON AVE
GRAND TERRACE, CA92313-5172
 Phone: 909-864-1097
 Fax: 951-225-6879
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NOEMI AVILA · (Female)

NPI Number 1023691623
Status Active
Credentials
Entity Individual
Enumeration date 04/30/2021
Last updated 11/15/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 95022305
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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