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Diego Nicolas Echaveste-avila
Student in an Organized Health Care Education/Training Program in Lancaster, California
NPI 1659008985

Diego Nicolas Echaveste-avila is a Student in an Organized Health Care Education/Training Program based in Lancaster, CA. Diego Nicolas Echaveste-avila practices in Lancaster, CA. The NPI Number for Diego Nicolas Echaveste-avila is 1659008985 and holds a License No. (California).

The current practice location address for Diego Nicolas Echaveste-avila is 43520 Division St, Lancaster, CA and can be reached out via phone at 661-266-4783.

Location: 43520 Division St, Lancaster, CA, 93535-4089
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659008985
Provider Name
Diego Nicolas Echaveste-avila
Credential
Provider Entity Type
Individual
Gender
Male
Address
43520 Division St, Lancaster, CA, 93535-4089
Phone Number
661-266-4783
Fax Number
Provider Enumeration Date
08/05/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95-2633765 01 CA MEDI-CAL
institution
Provider Business Practice Location Address Details
Address
43520 Division St
City
Lancaster
State
California
Zip
93535-4089
Phone Number
661-266-4783
Fax Number
person
Provider Business Mailing Address Details
Address
43520 Division St
City
Lancaster
State
California
Zip
93535-4089
Phone Number
661-266-4783
Fax Number
person
Provider's Taxonomy Details 1
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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