NPI 1003039132

Avalon Medical Group of Whittier INC.

Organisation Health Maintenance Organization Encino, CA

Practice location

Address: 16030 Ventura Blvd STE 200, Encino, CA 91436-2754
Phone: (818) 461-5030
Fax: (818) 461-5095

Authorised official

Name: Diane Penn
Title: Compliance Officer
Phone: (818) 461-5030

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence A33793 (CA)

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Registry record

NPI: 1003039132
Entity type: Organization
NPI issued: 10 Apr 2007
Record last updated: 15 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.