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Individual

ARTURO R AVILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
38690 STIVERS ST STE A, FREMONT, CA 94536-5276
(510) 248-1000
Mailing address
39300 CIVIC CENTER DR STE 370, FREMONT, CA 94538-2397
(510) 248-1000

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA12108
CA
363AS0400X
Surgical Physician Assistant
Primary
PA12108
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PA12108
CA
Enumeration date
10/20/2006
Last updated
09/20/2024
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