Healthcare Provider Details

I. General information

NPI: 1346719267
Provider Name (Legal Business Name): MS. XOCHITL AVILA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: XOCHITL AVILA ZAMORA

II. Dates (important events)

Enumeration Date: 11/20/2018
Last Update Date: 11/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

339 PAJARO ST
SALINAS CA
93901-3400
US

IV. Provider business mailing address

339 PAJARO ST
SALINAS CA
93901-3400
US

V. Phone/Fax

Practice location:
  • Phone: 831-800-7530
  • Fax: 831-975-5694
Mailing address:
  • Phone: 831-800-7530
  • Fax: 831-975-5694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: