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Individual

JOSEPH ANTHONY AVALOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 W ARBOR DRIVE, MC8485, SAN DIEGO, CA 92103-8485
(619) 471-9198
(619) 543-8255
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
(619) 471-9186

Taxonomy

Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A143574
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04505760
MS
05
2146513
LA
Enumeration date
03/30/2011
Last updated
09/12/2017
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