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Individual

ALESSANDRO A AVILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11333 SEPULVEDA BLVD, MISSION HILLS, CA 91345-1116
(818) 869-7267
Mailing address
PO BOX 960, MISSION HILLS, CA 91346-9602
(818) 837-5559
(818) 792-4793

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
192-T1
WY
207Q00000X
Family Medicine Physician
Primary
A194887
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
12/08/2020
Last updated
07/24/2024
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