Individual
HERIBERTO AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(442) 265-1524
Mailing address
202 N 8TH ST, EL CENTRO, CA 92243-2302
(442) 265-1524
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
09/18/2025
Last updated
04/08/2026
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