SearchCalifornia390200000X

Mario Avalos Rebollar

NPI 1134777972 · on the registry since 2019

Practice

Address
2718 W Anahurst Pl
Santa Ana, CA 92704
Phone
(714) 264-2974

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California