Organization
AVOCADO MEDICAL CLINIC PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO TIZNADO-GARCIA (OWNER)
(951) 943-7212
Entity
Organization
Contact information
Practice address
126 AVOCADO AVE, PERRIS, CA 92571-2605
(951) 943-7212
Mailing address
126 AVOCADO AVE, PERRIS, CA 92571-2605
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A45183
CA
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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