Individual
LUIS AVELINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
875 EL CAJON BLVD, EL CAJON, CA 92020-5714
(619) 205-4585
Mailing address
999 E DIVISION ST SPC B9, NATIONAL CITY, CA 91950-1633
(619) 708-6142
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PTA49322
CA
225200000X
Physical Therapy Assistant
Primary
PTA49322
CA
Other
Enumeration date
02/17/2023
Last updated
03/13/2023
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