Edwin Daniel Avila
Community Health Worker in Orange, CA. Individual provider (NPI-1).
NPI number1477082758
StatusActive
Last updated in NPPESJun 7, 2024
Details
- NPI
- 1477082758
- Entity type
- Individual (NPI-1)
- Name
- Edwin Daniel Avila
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2017
- Certification date
- Jun 7, 2024
- Last updated
- Jun 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | CA | Yes |
Practice location
1855 W Katella Ave Ste 150Orange, CA 92867-3432
Phone 714-399-3480
Mailing address
1855 W Katella Ave Ste 150Orange, CA 92867-3432
Phone 714-399-3480
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All 78 Community Health Worker providers in Orange · All 15,092 providers in Orange
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