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NPI Code Detail

MEDICARE: DR. JOANNA AYALA MD

MEDICARE:  DR. JOANNA  AYALA  MD
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
1207Q00000XFamily MedicineMD2013-0761NM
2207Q00000XFamily MedicineA120236CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2NPI & TIN#OTHERNMBCBS OF NM

General Provider Information

NPI Number : 1750655668
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOANNA AYALA MD
Provider Business Mailing Address
First Line : 29995 TECHNOLOGY DR STE 202
Second Line :
City : MURRIETA
State : CA
Zip : 92563-2633
Country : US
Telephone Number : (818) 370-6581
Fax Number : 951-696-1113
Provider Business Practice Location Address
First Line : 29995 TECHNOLOGY DR STE 202
Second Line :
City : MURRIETA
State : CA
Zip : 92563-2633
Country : US
Telephone Number : (818) 370-6581
Fax Number : 951-696-1113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2012
Last Update Date : 09/07/2017

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Directions to “ DR. JOANNA AYALA MD” Practice Location

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