DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AVE GERTI PREMNE

MEDICARE: AVE GERTI PREMNE
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1528920832
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVE GERTI PREMNE
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Provider Business Practice Location Address
First Line : 23740 HAWTHORNE BLVD STE 104
Second Line :
City : TORRANCE
State : CA
Zip : 90505-8206
Country : US
Telephone Number : 855-223-7123
Fax Number : 619-374-7134
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2025
Last Update Date : 12/16/2025

Similar Medicare Providers

1720942436 — MAYA UNTERMAN
Practice Location Address:
23740 HAWTHORNE BLVD STE 104
TORRANCE, CA
90505-8206
Practice Phone: 855-223-7123
Practice Fax:
1770448433 — WILLIAM GUZNER
Practice Location Address:
23740 HAWTHORNE BLVD STE 104
TORRANCE, CA
90505-8206
Practice Phone: 855-223-7123
Practice Fax: 619-374-7134
1033527379 — CRYSTAL REYNOSO
Practice Location Address:
23740 HAWTHORNE BLVD STE 104
TORRANCE, CA
90505-8206
Practice Phone: 855-223-7123
Practice Fax: 562-698-6613
1346775442 — DREW DELACRUZ
Practice Location Address:
23740 HAWTHORNE BLVD STE 104
TORRANCE, CA
90505-8206
Practice Phone: 855-223-7123
Practice Fax:
1649786054 — LAWRENCE M TRAN
Practice Location Address:
23740 HAWTHORNE BLVD STE 104
TORRANCE, CA
90505-8206
Practice Phone: 855-223-7123
Practice Fax:
1962065144 — LEYLY FERRIGNO
Practice Location Address:
23740 HAWTHORNE BLVD STE 104
TORRANCE, CA
90505-8206
Practice Phone: 855-223-1723
Practice Fax:

Directions to “ AVE GERTI PREMNE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.