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NPI Code Detail

MEDICARE: LILIANA AVELAR P.A.

MEDICARE:   LILIANA  AVELAR  P.A.
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
1363A00000XPhysician AssistantP.A.18156CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538173745
Entity Type Code : Individual
Provider Name (Legal Business Name) : LILIANA AVELAR P.A.
Provider Business Mailing Address
First Line : 400 W 30TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-3320
Country : US
Telephone Number : 213-284-3200
Fax Number : 213-284-3357
Provider Business Practice Location Address
First Line : 400 W 30TH ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-3320
Country : US
Telephone Number : 213-284-3200
Fax Number : 213-284-3357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 01/06/2022

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Directions to “ LILIANA AVELAR P.A.” Practice Location

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