Individual provider · Type 1 NPI

Joseph De Jesus Avila

Student in an Organized Health Care Education/Training Program · Fullerton, CA

NPI number 1003784703 Active

Practice location

680 Langsdorf Dr Ste 200
Fullerton, CA 92831-3702

Call (714) 871-9264 Map

Fax (714) 871-5032

Mailing address

1238 Cedar St
Santa Ana, CA 92707-1402

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1003784703

Joseph De Jesus Avila's National Provider Identifier is 1003784703, issued on Oct 25, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fullerton, CA. The record was last updated on Oct 25, 2025.