MEDICARE: HERMELINDA AYON

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
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1730229105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HERMELINDA AYON

Provider Business Mailing Address
First Line	:	404 N H ST APT B
Second Line	:
City	:	IMPERIAL
State	:	CA
Zip	:	92251-2210
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	313 S WATERMAN AVE
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-2215
Country	:	US
Telephone Number	:	442-265-7360
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/07/2007
Last Update Date	:	02/03/2026

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Directions to “ HERMELINDA AYON ” Practice Location

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