Individual ProviderAdilene Virginia AvilesCounselorBehavioral Health & Social Service ProvidersPractice Address5715 S Broadway, Los Angeles, CA 90037-4131(323) 948-0444PECOS EnrollmentBased on the most recent information from CMS, provider Adilene Virginia Aviles 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 today at 9:43 AM.Profile DetailsProvider ID1669190617Provider TypeIndividualFull NameAviles, Adilene VirginiaGenderFemaleSole ProprietorNoEnumeration Date8/16/2022Last Updated8/16/2022Contact InformationPractice LocationPractice Address5715 S Broadway, Los Angeles, CA 90037-4131Phone(323) 948-0444Fax(323) 948-0443Mailing LocationMailing Address5715 S Broadway, Los Angeles, CA 90037-4131Phone(323) 948-0444Fax(323) 948-0443Provider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseR1475760722California