ADVANCED WELLNESS WEST VALLEY MEDICAL GROUP INC NPI 1972124675

NPI Information

NPI: 1972124675
Provider Name: ADVANCED WELLNESS WEST VALLEY MEDICAL GROUP INC

Doing Business As: ADVANCED WELLNESS MEDICAL

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
4116 W MAGNOLIA BLVD STE 100
BURBANK, CA
ZIP 91505
Phone: (310) 879-9266
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ADVANCED WELLNESS WEST VALLEY MEDICAL GROUP INC is a multi-specialty clinic center in Burbank, CA. ADVANCED WELLNESS WEST VALLEY MEDICAL GROUP INC NPI is 1972124675. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Advanced Wellness Medical.

The provider's business location address is:

4116 W MAGNOLIA BLVD STE 100
BURBANK, CA
ZIP 91505-706
Phone: (310) 879-9266
Fax: (818) 279-0787

The provider's authorized official is Allen L Lawrence .
The authorized official title is Owner and has the following contact phone number (310) 879-9266.

The enumeration date for this NPI number is 5/4/2020 and was last updated on 1/24/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2083P0500X	Preventive Medicine	Preventive Medicine/Occupational Environmental Medicine			No
2	261QM1300X	Clinic/Center	Multi-Specialty			Yes

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

NPI Synchronization or Removal

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