Healthcare Provider Details

I. General information

NPI: 1447927538
Provider Name (Legal Business Name): ANGELICA AVILA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2021
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 6TH AVE
DELANO CA
93215-3011
US

IV. Provider business mailing address

1500 6TH AVE
DELANO CA
93215-3011
US

V. Phone/Fax

Practice location:
  • Phone: 661-725-1010
  • Fax: 661-725-6940
Mailing address:
  • Phone: 661-725-1010
  • Fax: 661-725-6940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number9502556
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: