Avila, Shane Lenre Calaguas

Avila, Shane Lenre Calaguas is an sole proprietor health care provider with primary practice located at 600 City Pkwy W , Orange CA 92868-2968. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Avila, Shane Lenre Calaguas can be contacted via phone (714) 955-2676.

Contact Information

Primary practice address
600 City Pkwy W Orange CA 92868-2968
Phone: (714) 955-2676
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 95000320 California
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 95000320 California
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 95000320 California

Profile Details

NPI number 1740607167
LBN Legal business name Avila, Shane Lenre Calaguas
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2014
Last updated Sep 29th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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