Alexis Avalos
Technician in Los Angeles, CA. Individual provider (NPI-1).
NPI number1275293458
StatusActive
Last updated in NPPESDec 29, 2021
Details
- NPI
- 1275293458
- Entity type
- Individual (NPI-1)
- Name
- Alexis Avalos
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 29, 2021
- Certification date
- Dec 29, 2021
- Last updated
- Dec 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374700000X | Technician | – | – | Yes |
Practice location
1510 San Pablo StLos Angeles, CA 90033-5320
Phone 800-872-2273
Mailing address
10411 Corley DrWhittier, CA 90604-1113
Phone 132-360-8973
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