Jonathan Tiago Avila
M.D. | Pediatric Adolescent Medicine | Male
Jonathan Tiago Avila, M.D. is a Sunnyvale, California based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Jonathan Tiago Avila is
1195 W Fremont Ave Fl 2, Sunnyvale, California - 94087-3832. He can be contacted on phone at
408-425-5593.
Jonathan Tiago Avila is a sole proprietor of his business.
NPI number (Unique professional ID) for Jonathan Tiago Avila is
1063754745 which was assigned by NPPES on 20 Mar, 2013 and it was last updated on 03 Jul, 2019.
Jonathan Tiago Avila license number is
A139957 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Jonathan Tiago Avila specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Jonathan Tiago Avila basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization : | Pediatrics Adolescent Medicine |
---|
Provider Name : | Jonathan Tiago Avila |
---|
Credential : | M.D. |
---|
Gender : | Male |
---|
Business Address:
Jonathan Tiago Avila address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address : | 1195 W Fremont Ave Fl 2 Sunnyvale, CA, 94087-3832 United States |
---|
Phone Number : | 408-425-5593 |
---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : | 1063754745 |
---|
NPI Entity Type : | Individual |
---|
First Enrolment Date : | 20 Mar, 2013 |
---|
Last Updated On : | 03 Jul, 2019 |
---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jonathan Tiago Avila are as mentioned. Primary taxonomy code for Jonathan Tiago Avila, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
Taxonomy Code | Speciality | Primary | License No. | State |
---|
208000000X | Pediatrics | No | A139957 | CA |
2080A0000X | Pediatrics Adolescent Medicine | Yes | A139957 | CA |
Other Practice Locations:
Practice Address | City, State | Phone Number |
---|
770 WELCH RD STE 100, PALO ALTO, CA, 94304 United States | PALO ALTO, CA | 650-736-9557 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address : | 770 Welch Rd Ste 100, Stanford University - Division Of Adolescent Medicine Palo Alto, CA, 94304 United States |
---|
Phone Number : | 650-736-9557 |
---|
Fax Number : | 650-736-7706 |
---|
Business Location:
Patients can refer following map for directions to
Jonathan Tiago Avila practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.