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MARIO ALBERTO AVALOS REBOLLAR
NPI 1134777972
Student in an Organized Health Care Education/Training Program in Santa Ana, CA

Active since August 26, 2019
2718 W ANAHURST PL, SANTA ANA, CA 92704(714) 264-2974 Get Directions Write a Review

NPPES record last updated: August 26, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mario Alberto Avalos Rebollar NPPES

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

MARIO ALBERTO AVALOS REBOLLAR (NPI 1134777972) is an individual student in an organized health care education/training program in Santa Ana, California, licensed in California (INT44618) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1134777972
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMARIO ALBERTO AVALOS REBOLLAR
Location Address2718 W ANAHURST PLSanta Ana, CA 92704-4506
Mailing Address2718 W Anahurst PlSanta Ana, CA 92704-4506 · (714) 264-2974
Phone(714) 264-2974
Sole ProprietorNo
Enumeration DateAugust 26, 2019
✔ NPI 1134777972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CA · INT44618
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.
2718 W ANAHURST PL, Santa Ana, CA 92704
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mario Avalos Rebollar's NPI number?

The NPI number for Mario Avalos Rebollar is 1134777972. It was assigned to this individual provider in the NPPES registry on August 26, 2019.

Where is Mario Avalos Rebollar located?

Mario Avalos Rebollar practices at 2718 W Anahurst Pl, Santa Ana, CA 92704. The listed phone number is (714) 264-2974.

What is Mario Avalos Rebollar's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mario Avalos Rebollar was last updated on August 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.