Individual
DR. JONATHAN AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
850 E FOOTHILL BLVD DEPT OF, RIALTO, CA 92376-5230
(909) 601-4220
Mailing address
303 E VANDERBILT WAY, SAN BERNARDINO, CA 92415-0026
(909) 601-4220
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
A139612
CA
Other
Enumeration date
07/03/2014
Last updated
01/14/2022
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