Individual
GRISELDA AVALOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(800) 854-7771
Mailing address
510 S VERMONT AVE, LOS ANGELES, CA 90020-1912
(800) 854-7771
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
05/22/2023
Last updated
02/11/2026
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