DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AVA ROSE DVORAK

MEDICARE: AVA ROSE DVORAK
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1588522254
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVA ROSE DVORAK
Provider Business Mailing Address
First Line : 155 BIMINI PL
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-5902
Country : US
Telephone Number : 213-388-5423
Fax Number : 213-388-5423
Provider Business Practice Location Address
First Line : 155 BIMINI PL
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-5902
Country : US
Telephone Number : 213-388-5423
Fax Number : 213-388-5423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

Similar Medicare Providers

1851389993 — SOCIAL MODEL RECOVERY SYSTEMS, INC.
Practice Location Address:
155 BIMINI PL
LOS ANGELES, CA
90004-5902
Practice Phone: 213-388-5423
Practice Fax: 213-388-1317
1134369648 — VIVIAN HERNANDEZ
Practice Location Address:
155 BIMINI PL
LOS ANGELES, CA
90004-5902
Practice Phone: 213-388-5423
Practice Fax:
1912443045 — MARIA REYES
Practice Location Address:
155 BIMINI PL
LOS ANGELES, CA
90004-5902
Practice Phone: 213-388-5423
Practice Fax: 213-388-1317
1558807685 — RONALD FARRIS I RADT 1
Practice Location Address:
155 BIMINI PL
LOS ANGELES, CA
90004-5902
Practice Phone: 213-388-5423
Practice Fax: 213-388-1317
1407393028 — DANIEL ESPINOZA
Practice Location Address:
155 BIMINI PL
LOS ANGELES, CA
90004-5902
Practice Phone: 213-388-5423
Practice Fax:
1245746726 — CHRISTIE MICHELLE AVERY
Practice Location Address:
155 BIMINI PL
LOS ANGELES, CA
90004-5902
Practice Phone: 213-388-5423
Practice Fax:

Directions to “ AVA ROSE DVORAK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.