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Organization

ALIVA HEALTH & WELLNES CENTER, A NURSING CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARGARET AVILA RN, MSN, PHN, NP (PRESIDENT)
(310) 710-1723
Entity
Organization

Contact information

Practice address
420 EAST 3RD STREET, SUITE 810, LOS ANGELES, CA 90013-1647
(213) 625-0717
(213) 625-0770
Mailing address
420 EAST 3RD STREET, SUITE 810, LOS ANGELES, CA 90013-1647
(213) 625-0717
(213) 625-0770

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
6531
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6531
CA
Enumeration date
12/23/2011
Last updated
12/23/2011
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