Individual provider · Type 1 NPI

Shane Lenre Calaguas Avila, NP

Adult Health Nurse Practitioner · Long Beach, CA

NPI number 1740607167 Active

Practice location

4910 Airport Plaza Dr Ste 100
Long Beach, CA 90815-1377

Mailing address

22734 Moneta Ave
Carson, CA 90745-3601

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X95000320 (CA)
Adult Health Nurse Practitioner Primary 363LA2200X95000320 (CA)
Nurse Practitioner 363L00000X95000320 (CA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1740607167

Shane Lenre Calaguas Avila, NP's National Provider Identifier is 1740607167, issued on Mar 24, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Long Beach, CA. The record was last updated on Sep 28, 2026.