DIANA MIRIAM AVILA
NPI 1114445038
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since August 30, 2017

333 S BEAUDRY AVE, LOS ANGELES, CA 90017(213) 241-3841(213) 241-3305 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Sep 17, 2020, Aug 30, 2017 (3 updates tracked since 2017).

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About Diana Miriam Avila NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIANA MIRIAM AVILA (NPI 1114445038) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1114445038

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDIANA MIRIAM AVILA

Location Address333 S BEAUDRY AVELos Angeles, CA 90017-1466

Mailing Address333 S Beaudry AveLos Angeles, CA 90017-1466 · (213) 241-3841 · Fax (213) 241-3305

Phone(213) 241-3841

Fax(213) 241-3305

Sole ProprietorNo

Enumeration DateAugust 30, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2020

✔ NPI 1114445038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

Also ListedRehabilitation PractitionerTaxonomy 225400000X

333 S BEAUDRY AVE, Los Angeles, CA 90017

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