NPI 1134362544

Manuel Salvador Avalos, DPT

Practitioner Contractor Lake Forest, CA

Practice location

Address: 24432 Muirlands Blvd STE 201, Lake Forest, CA 92630-3939
Phone: (949) 540-0301
Mailing address: 1107 W Memory Ln Unit 17c, Santa Ana, CA 92706-1500

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 35305 (CA)

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Registry record

NPI: 1134362544
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Apr 2009
Record last updated: 15 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.