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General NPI Number Information
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NPI Number | 1972464139
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Entity Type | Individual
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Provider Name | BEATRIZ DAVILA
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Gender | Female
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/19/2025
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Provider Practice Location Address
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Address Line | 1221 S OAKS AVE
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City | ONTARIO
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State | CA
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Zip | 91762-4742
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Country | US
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Telephone | 909-988-2050
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Fax |
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Provider Business Mailing Address
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Address Line | 950 W D ST
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City | ONTARIO
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State | CA
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Zip | 91762-3026
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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