Avilla, Rodney J
Avilla, Rodney J is an sole proprietor health care provider with primary practice located at 2101 Geer Rd #303, Turlock CA 95382. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Avilla, Rodney J can be contacted via phone (209) 632-3966.Contact Information
Primary practice address
2101 Geer Rd #303
Turlock CA 95382
Phone: (209) 632-3966
Fax: (209) 667-4168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20A5487 | California |
Profile Details
| NPI number | 1790765428 |
|---|---|
| LBN Legal business name | Avilla, Rodney J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Jan 3rd, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790765428 | NPPES |
| California | MEDICAID | 00AX54870 |
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