Avalon Medical Group Of Whittier Inc.

NPI 1003039132 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1003039132
Enumeration Date 04/10/2007
Last Updated 07/15/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DIANE DIANE
Position COMPLIANCE OFFICER
Phone (818) 461-5030
Fax (818) 461-5095
Practice Location
16030 VENTURA BLVD
STE 200
ENCINO CA, 91436-2754, US
Phone (818) 461-5030
Fax (818) 461-5095
Business Location
16030 VENTURA BLVD
STE 200
ENCINO CA, 91436-2754, US
Phone (818) 461-5030
Fax (818) 461-5095
Toxanomy
Taxonomy Code 302R00000X
License State California
License Number A33793
Remove 1003039132 NPI Number
 

According to our database, Avalon Medical Group Of Whittier Inc. NPI is 1003039132, taxonomy code is 302R00000X and license number is A33793, license state is located at California. Avalon Medical Group Of Whittier Inc. physically located at 16030 Ventura Blvd, Encino CA, 91436-2754. NPI Number 1033115704 has the healthcare provider type.

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1003039132 NPI number is provided on an as is basis without warranty of any kind. 1003039132 is maintained by the National Plan & Provider Enumeration System. The contents of Avalon Medical Group Of Whittier Inc. are for informational purposes only.