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NPI Code Detail

MEDICARE: IRENE MONTALVO AVILA LVN

MEDICARE: IRENE MONTALVO AVILA LVN
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
1164X00000XLicensed Vocational Nurse745454CA

General Provider Information

NPI Number : 1942151493
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRENE MONTALVO AVILA LVN
Provider Business Mailing Address
First Line : 360 S WESTLAKE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-2906
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 360 S WESTLAKE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90057-2906
Country : US
Telephone Number : 213-483-9205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2026
Last Update Date : 02/09/2026

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