Individual
MANUEL SALVADOR AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
24432 MUIRLANDS BLVD STE 201, LAKE FOREST, CA 92630-3939
(949) 540-0301
Mailing address
1107 W MEMORY LN UNIT 17C, SANTA ANA, CA 92706-1500
(714) 323-1066
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
35305
CA
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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