Mr Juan Avalos, is a
Community Health Worker based in Los Angeles, California. Mr Juan Avalos is licensed to practice in * (Not Available) (license number ) and his current practice location is
631 Maple Ave, Los Angeles, California. He can be reached at his office (for appointments etc.) via phone at
(213) 305-3671.
NPI number for Mr Juan Avalos is 1811043748 and his current mailing address is 1007 1/2 W 21st St, Los Angeles, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811043748.
Healthcare Provider's Profile
| Full Name | Mr Juan Avalos |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 631 Maple Ave, Los Angeles, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1811043748
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 03/19/2021
Medical Identifiers
Medical identifiers for Mr Juan Avalos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811043748 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Juan Avalos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Juan Avalos,
1007 1/2 W 21st St,
Los Angeles, CA 90007-3092
Ph: (213) 749-0292 | Mr Juan Avalos,
631 Maple Ave,
Los Angeles, CA 90014-2211
Ph: (213) 305-3671 |
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