Organization
AVELLA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADA A. HERNANDEZ M.D. (PRESIDENT)
(909) 985-2112
Entity
Organization
Contact information
Practice address
255 E BONITA AVE BLDG 3B, POMONA, CA 91767-1923
(909) 985-2112
(909) 985-3411
Mailing address
PO BOX 148, CLAREMONT, CA 91711-0148
(909) 985-2112
(909) 985-3411
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A84970
CA
Other
Enumeration date
03/19/2009
Last updated
03/19/2009
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