Jorge Luis Avila Jr.
Case Manager/Care Coordinator in Santa Fe Springs, CA. Individual provider (NPI-1).
NPI number1558773036
StatusActive
Last updated in NPPESJun 2, 2014
Details
- NPI
- 1558773036
- Entity type
- Individual (NPI-1)
- Name
- Jorge Luis Avila Jr.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 2, 2014
- Last updated
- Jun 2, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
11721 Telegraph RdSanta Fe Springs, CA 90670-3674
Phone 562-949-8455
Mailing address
11721 Telegraph RdSanta Fe Springs, CA 90670-3674
Phone 562-949-8455
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