NPI 1205023959 · live from the CMS NPI Registry
Juan Antonio Avila, M.D.
Psychiatry & Neurology, Psychiatry in Kirkland, WA. National Provider Identifier 1205023959, active.
NPI record
| NPI | 1205023959 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Psychiatry 2084P0800X |
| Practice location | 10200 Ne 132nd St, Kirkland, WA 98034 |
| Practice phone | 504-236-8154 |
| Enumerated | September 26, 2007 |
| Last updated | August 8, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Psychiatry & Neurology, Psychiatry primary | 2084P0800X | FA2156621 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.