Provider Demographics
NPI:1376258889
Name:AVINA, ARTURO FRANK (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ARTURO
Middle Name:FRANK
Last Name:AVINA
Suffix:
Gender:M
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28995 FRANKFORT LN
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-2501
Mailing Address - Country:US
Mailing Address - Phone:619-446-9908
Mailing Address - Fax:
Practice Address - Street 1:28995 FRANKFORT LN
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-2501
Practice Address - Country:US
Practice Address - Phone:619-446-9908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27490235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist