Individual ProviderRuben Juan AvilaCounselorBehavioral Health & Social Service ProvidersPractice Address1212 N California St, Stockton, CA 95202-1552(209) 468-8686PECOS EnrollmentBased on the most recent information from CMS, provider Ruben Juan Avila does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1104258243Provider TypeIndividualFull NameAvila, Ruben JuanGenderMaleSole ProprietorYesEnumeration Date7/31/2013Last Updated7/31/2013Contact InformationPractice LocationPractice Address1212 N California St, Stockton, CA 95202-1552Phone(209) 468-8686FaxUnlisted FaxMailing LocationMailing Address1212 N California St, Stockton, CA 95202-1552Phone(209) 468-8686FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer