Basic Information
| Provider Information | |||||||||
| NPI: | 1184603706 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AFILAKA | ||||||||
| FirstName: | ABOABA | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1140 MAIN ST | ||||||||
| Address2: | |||||||||
| City: | LIVINGSTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 953341257 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2093947913 | ||||||||
| FaxNumber: | 2093949093 | ||||||||
| Practice Location | |||||||||
| Address1: | 7970 LANDER AVE | ||||||||
| Address2: | SUITE A | ||||||||
| City: | HILMAR | ||||||||
| State: | CA | ||||||||
| PostalCode: | 953248350 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2092621819 | ||||||||
| FaxNumber: | 2092621817 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/12/2006 | ||||||||
| LastUpdateDate: | 12/15/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2083X0100X | 131435 | CA | Y | Allopathic & Osteopathic Physicians | Preventive Medicine | Occupational Medicine |
No ID Information.