FERNANDO JOSE AVILA
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1396364147- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2295 S VINEYARD AVE, ONTARIO, CA, 917617925
- Phone
- (833) 574-2273
Specialties & Taxonomies
Family Medicine
Primary License: CA #A182447
Family Medicine, Sports Medicine
License: CA #A182447