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Jose Ortiz Avina

Counselor, Addiction (Substance Use Disorder) in Montebello, CA. Individual provider (NPI-1).

NPI number1982243994
StatusActive
Last updated in NPPESDec 23, 2019

Details

NPI
1982243994
Entity type
Individual (NPI-1)
Name
Jose Ortiz Avina
Sex
Male
Sole proprietor
No
Enumeration date
Dec 23, 2019
Certification date
Dec 23, 2019
Last updated
Dec 23, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

3316 W Beverly Blvd
Montebello, CA 90640-1537

Phone 323-722-4529

Mailing address

3316 W Beverly Blvd
Montebello, CA 90640-1537

Phone 323-722-4529

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