Organization
AVAYA THERAPY OF CALIFORNIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROLANDO G ARROJO (PRESIDENT)
(312) 404-9639
Entity
Organization
Contact information
Practice address
300 SPECTRUM CENTER DR STE 400, IRVINE, CA 92618-4989
(312) 404-9639
Mailing address
300 SPECTRUM CENTER DR STE 400, IRVINE, CA 92618-4989
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363LC1500X
Community Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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