Arturo R Avila, PA-C
Physician Assistant, Surgical in Fremont, CA. Individual provider (NPI-1).
NPI number1689756330
StatusActive
Last updated in NPPESSep 20, 2024
Details
- NPI
- 1689756330
- Entity type
- Individual (NPI-1)
- Name
- Arturo R Avila
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 20, 2006
- Certification date
- Sep 20, 2024
- Last updated
- Sep 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA12108 | CA | Yes |
| 363A00000X | Physician Assistant | PA12108 | CA |
Practice location
38690 Stivers St Ste AFremont, CA 94536-5276
Phone 510-248-1000
Mailing address
39300 Civic Center Dr Ste 370Fremont, CA 94538-2397
Phone 510-248-1000
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