Jorge Luis Avila Jr.
Individual provider Active NPI Case Manager/Care Coordinator · Santa Fe Springs, CA
NPI 1558773036 · NPPES record last updated Jun 2, 2014
Key facts
- NPI
- 1558773036
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674 - Phone
- (562) 949-8455
- NPI assigned
- Jun 2, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674
Mailing address
11721 Telegraph Rd
Santa Fe Springs, CA 90670-3674
Phone (562) 949-8455
Other providers in Santa Fe Springs, CA
- Atg-Designing Mobility Inc
- Samira Kaur Atwal
- Samantha Atwood
- Blanca L Avalos-Diaz
- David Ari Avelar
- Vickie Acelia Ventura Avila
- Elisha Bacon
- Dania Jamal Badawi
- Rebecca Baer
- Ken Bagnis
All providers in Santa Fe Springs, CA · Case Manager/Care Coordinator in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.