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NPI Code Detail

MEDICARE: CRISTINA AVINA

MEDICARE: CRISTINA AVINA
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
1101Y00000XCounselorCA
2225XP0200XPediatric Occupational TherapistCA

General Provider Information

NPI Number : 1477002368
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRISTINA AVINA
Provider Business Mailing Address
First Line : 1560 E MAIN AVE
Second Line :
City : MORGAN HILL
State : CA
Zip : 95037-3210
Country : US
Telephone Number : 408-427-6452
Fax Number :
Provider Business Practice Location Address
First Line : 2580 LAFAYETTE ST
Second Line :
City : SANTA CLARA
State : CA
Zip : 95050-2602
Country : US
Telephone Number : 408-743-5332
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2016
Last Update Date : 06/27/2023

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Directions to “ CRISTINA AVINA ” Practice Location

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