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AVANGUARD MEDICAL GROUP INC NPI 1336746221


NPI Information

NPI: 1336746221
Provider Name: AVANGUARD MEDICAL GROUP INC
Classification: Radiologic Technologist - 2471V0106X
Entity Type: Organization

Specialization: Vascular-Interventional Technology

CLIA Number: 05D1059354

Address:
5620 WILBUR AVE STE 207
TARZANA, CA
ZIP 91356
Phone: (818) 344-0070
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AVANGUARD MEDICAL GROUP INC is a vascular-interventional technology radiologic technologist in Tarzana, CA. The provider is a radiologic technologist who specializes in vascular interventional and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of vascular interventional imaging, exam techniques, equipment protocols, radiation safety, and patient care. AVANGUARD MEDICAL GROUP INC NPI is 1336746221. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5620 WILBUR AVE STE 207
TARZANA, CA
ZIP 91356-309
Phone: (818) 344-0070

The provider's authorized official is Victoriya Tepman .
The authorized official title is Administrator and has the following contact phone number (818) 344-0070.

The CLIA number assigned to this NPI record is 05D1059354 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2020 and was last updated on 10/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12471V0106XRadiologic TechnologistVascular-Interventional TechnologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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