Individual
MR. ERNEST AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2008 N GAREY AVE, POMONA, CA 91767-2722
(909) 623-6131
(909) 865-9281
Mailing address
21851 NEWLAND ST SPC 14, HUNTINGTON BEACH, CA 92646-7623
(562) 697-1358
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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