Michael Avila-Cabral, PA-C
Physician Assistant, Medical in North Las Vegas, NV. Individual provider (NPI-1).
NPI number1689903155
StatusActive
Last updated in NPPESJun 6, 2024
Details
- NPI
- 1689903155
- Entity type
- Individual (NPI-1)
- Name
- Mr. Michael Avila-Cabral
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2009
- Certification date
- Jun 6, 2024
- Last updated
- Jun 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA2506 | NV | Yes |
| 363AM0700X | Physician Assistant, Medical | PA20684 | CA |
Practice location
1550 W Craig RdNorth Las Vegas, NV 89032-0327
Phone 702-777-3615
Mailing address
2100 Powell StSuite 900
Emeryville, CA 94608-1826
Phone 510-350-2698 · Fax 510-879-9084
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