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NPI Code Detail

MEDICARE: EVELYN AVALOS M.S.

MEDICARE:   EVELYN  AVALOS  M.S.
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
1235Z00000XSpeech-Language PathologistSP 23245CA

General Provider Information

NPI Number : 1356757215
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN AVALOS M.S.
Provider Business Mailing Address
First Line : 257 RANCHO DR UNIT C
Second Line :
City : CHULA VISTA
State : CA
Zip : 91911-6443
Country : US
Telephone Number : 619-519-4481
Fax Number :
Provider Business Practice Location Address
First Line : 4100 NORMAL ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-2653
Country : US
Telephone Number : 619-725-5501
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2014
Last Update Date : 04/06/2026

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Directions to “ EVELYN AVALOS M.S.” Practice Location

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