Provider Demographics
NPI:1982764858
Name:AVENDANO, PAULINA JOSE (MD,FAAP)
Entity Type:Individual
Prefix:DR
First Name:PAULINA
Middle Name:JOSE
Last Name:AVENDANO
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Gender:F
Credentials:MD,FAAP
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Mailing Address - Street 1:638 CAMINO DE LOS MARES
Mailing Address - Street 2:H130-403
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673
Mailing Address - Country:US
Mailing Address - Phone:949-682-5738
Mailing Address - Fax:949-326-0606
Practice Address - Street 1:1300 AVENIDA VISTA HERMOSA
Practice Address - Street 2:SUITE 250
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673
Practice Address - Country:US
Practice Address - Phone:949-429-7700
Practice Address - Fax:949-429-7704
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2012-03-26
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Provider Licenses
StateLicense IDTaxonomies
CAG077201208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics