Dr. Jonathan Avalos
Family Doctor - Addiction Medicine
850 E Foothill Blvd Dept Of
Rialto
, California 92376-5230
Dr. Jonathan Avalos
Family Doctor - Addiction Medicine
850 E Foothill Blvd Dept Of
Rialto
, California 92376-5230
(909) 601-4220
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Jonathan Avalos
- 303 E Vanderbilt Way
- San Bernardino, CA
- Zip : 92415-0026
- Phone : (909) 601-4220
Second Address
- Dr. Jonathan Avalos
- 850 E Foothill Blvd Dept Of
- Rialto, CA
- Zip : 92376-5230
- Phone : (909) 601-4220
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | A139612 | CA |
National Provider Identifier
| NPI | 1386050805 |
|---|---|
| Provider Name | Dr. Jonathan Avalos |
| First Address | San Bernardino, CA 92415-0026 |
| Second Address | Rialto, CA 92376-5230 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2014 |
| Last Update Date | 14/01/2022 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.