LBA NPI 1205001682

NPI Information

LBA is a rural health clinic center in Avenal, CA. LBA NPI is 1205001682. The provider is registered as an organization entity type.
The provider Is Doing Business As Avenal Medical Clinic.

The provider's business location address is:

148 E KINGS ST
AVENAL, CA
ZIP 93204-529
Phone: (559) 386-9000
Fax: (559) 386-9090

The provider's authorized official is Amy Zachary-penton .
The authorized official title is Administrator and has the following contact phone number (805) 441-1310.

The enumeration date for this NPI number is 4/25/2008 and was last updated on 6/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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