Elizabeth Avina

Individual provider Active NPI Community Health Worker · San Bruno, CA

NPI 1578070876 · NPPES record last updated Jan 8, 2018

Key facts

NPI
1578070876
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
325 Chapman Ave Apt 1
San Bruno, CA 94066-4960
Phone
(650) 834-5281
NPI assigned
Jan 8, 2018
Sex
Female
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)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

325 Chapman Ave Apt 1
San Bruno, CA 94066-4960

Mailing address

325 Chapman Ave Apt 1
San Bruno, CA 94066-4960
Phone (650) 834-5281

Other providers in San Bruno, CA

All providers in San Bruno, CA · Community Health Worker in California

Sources for this page

Verify at the official NPI Registry.