person
Dr. Caroline Marie Licud Aventura, MD
Family Medicine Physician in West Covina, California
NPI 1962623538

Caroline Marie Licud Aventura is a Family Medicine Physician based in Commerce, CA. Caroline Marie Licud Aventura practices in West Covina, CA and has the professional credentials of MD. The NPI Number for Caroline Marie Licud Aventura is 1962623538 and holds a License No. 4301084039 (California).

The current practice location address for Caroline Marie Licud Aventura is 1300 S Sunset Ave, West Covina, CA and can be reached out via phone at 626-338-9915.

Location: 1300 S Sunset Ave, West Covina, CA, 90040-1502
person
Provider Profile Details
NPI Number
1962623538
Provider Name
Caroline Marie Licud Aventura
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1300 S Sunset Ave, West Covina, CA, 90040-1502
Phone Number
626-338-9915
Fax Number
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W14158 01 CA SITE PTAN
ZZZ20041Z 01 CA SITE PTAN
institution
Provider Business Practice Location Address Details
Address
1300 S Sunset Ave
City
State
Zip
91790-3342
Phone Number
626-338-9915
Fax Number
person
Provider Business Mailing Address Details
Address
1300 S Sunset Ave
City
State
Zip
91790-3342
Phone Number
626-338-9915
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
4301084039 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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