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Antonio Manuel Ayala
Peer Specialist in Lake Elsinore, California
NPI 1316128473

Antonio Manuel Ayala is a Peer Specialist based in Lake Elsinore, CA. Antonio Manuel Ayala practices in Lake Elsinore, CA. The NPI Number for Antonio Manuel Ayala is 1316128473 and holds a License No. (California).

The current practice location address for Antonio Manuel Ayala is 31946 Mission Trl Ste B, Lake Elsinore, CA and can be reached out via phone at 951-245-7663 and via fax at 951-674-6431.

Location: 31946 Mission Trl Ste B, Lake Elsinore, CA, 92530-4539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316128473
Provider Name
Antonio Manuel Ayala
Credential
Provider Entity Type
Individual
Gender
Male
Address
31946 Mission Trl Ste B, Lake Elsinore, CA, 92530-4539
Phone Number
951-245-7663
Fax Number
951-674-6431
Provider Enumeration Date
11/16/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
31946 Mission Trl Ste B
City
Lake Elsinore
State
California
Zip
92530-4539
Phone Number
951-245-7663
Fax Number
951-674-6431
person
Provider Business Mailing Address Details
Address
31946 Mission Trl Ste B
City
Lake Elsinore
State
California
Zip
92530-4539
Phone Number
951-245-7663
Fax Number
951-674-6431
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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