FERNANDO JOSE AVILA

ONTARIO, CA
NPI1396364147
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: CA  A182447)
Additional Taxonomies207QS0010X Family Medicine, Sports Medicine
(Licence: CA  A182447)
Enumeration Date2020-04-13
Last Update Date2024-11-05
Business Address
FERNANDO JOSE AVILA
2295 S VINEYARD AVE
ONTARIO, CA 91761-7925
Phone number: 833-574-2273
Mailing Address
FERNANDO JOSE AVILA
9961 SIERRA AVENUE, MOB-1
FONTANA, CA 92335-6720
Phone number: 909-427-5084