| Doctor Name: | EMIL AVANES |
| NPI Number: | 1508023318 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A110814 |
| Business Practice Address: | 3600 N Verdugo Rd Ste 202 Glendale, CA - 912081219 |
| Business Phone Number: | 8183697470 |
| Business Fax Number: | 8183697471 |
| Mailing Address: | 3600 N Verdugo Rd, Ste 202 GLENDALE |
| State: | CA |
| Postal Code: | 912081219 |
| Phone Number: | 8183697470 |
| Fax Number: | 8183697471 |
| NPI Enumeration Date: | 05/20/2008 |
| NPI Last Update Date: | 01/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A110814 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |