Search › California › 374U00000X
Brandon Avery
NPI 1225559982 · on the registry since 2017
Practice
- Address
- 19801 Tomahawk Rd
Apple Valley, CA 92307 - Phone
- (760) 628-9195
- Fax
- (760) 628-9195
- Organisation at this address
- Green Paradise Adult Home Care Llc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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