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Jerry Andrew Avila
Rehabilitation Practitioner in Culver City, California
NPI 1093595043

Jerry Andrew Avila is a Rehabilitation Practitioner based in Culver City, CA. Jerry Andrew Avila practices in Culver City, CA. The NPI Number for Jerry Andrew Avila is 1093595043 and holds a License No. (California).

The current practice location address for Jerry Andrew Avila is 9808 Venice Blvd Ste 505, Culver City, CA and can be reached out via phone at 310-945-3350.

Location: 9808 Venice Blvd Ste 505, Culver City, CA, 90232-6818
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093595043
Provider Name
Jerry Andrew Avila
Credential
Provider Entity Type
Individual
Gender
Male
Address
9808 Venice Blvd Ste 505, Culver City, CA, 90232-6818
Phone Number
310-945-3350
Fax Number
Provider Enumeration Date
10/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9808 Venice Blvd Ste 505
City
Culver City
State
California
Zip
90232-6818
Phone Number
310-945-3350
Fax Number
person
Provider Business Mailing Address Details
Address
9808 Venice Blvd Ste 505
City
Culver City
State
California
Zip
90232-6818
Phone Number
310-945-3350
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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