| Avocado Medical Clinic Professional Corp | |
|
126 Avocado Ave Perris CA 92571-2605 | |
| (951) 943-7212 | |
| Not Available |
| Full Name | Avocado Medical Clinic Professional Corp |
|---|---|
| Speciality | Clinic/center |
| Location | 126 Avocado Ave, Perris, California |
| Authorized Official Name and Position | Ernesto Tiznado-garcia (OWNER) |
| Authorized Official Contact | 9519437212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avocado Medical Clinic Professional Corp 126 Avocado Ave Perris CA 92571-2605 Ph: () - | Avocado Medical Clinic Professional Corp 126 Avocado Ave Perris CA 92571-2605 Ph: (951) 943-7212 |
| NPI Number | 1396108403 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396108403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | A45183 (California) | Primary |
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