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NPI Code Detail

MEDICARE: MRS. DIANA VERONICA AVILES MARTINEZ

MEDICARE: MRS. DIANA VERONICA AVILES MARTINEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner
2172V00000XCommunity Health WorkerCA

General Provider Information

NPI Number : 1215120878
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DIANA VERONICA AVILES MARTINEZ
Provider Business Mailing Address
First Line : 233 S QUINTANA DR
Second Line :
City : ANAHEIM
State : CA
Zip : 92807-4029
Country : US
Telephone Number : 714-988-9822
Fax Number :
Provider Business Practice Location Address
First Line : 233 S QUINTANA DR
Second Line :
City : ANAHEIM
State : CA
Zip : 92807-4029
Country : US
Telephone Number : 714-383-9401
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2007
Last Update Date : 05/29/2025

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Directions to “ MRS. DIANA VERONICA AVILES MARTINEZ ” Practice Location

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