Organization · Type 2 NPI

Via Avanta

Community Health Clinic/Center · Culver City, CA

NPI number 1639610462 Active

Practice location

4760 Sepulveda Blvd
Culver City, CA 90230

Specialties and licenses

TaxonomyCodeLicense
Community Health Clinic/Center Primary 261QC1500X172V00000X (CA)

Community Health Clinic/Center: Definition to come...

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About NPI 1639610462

Via Avanta's National Provider Identifier is 1639610462, issued on Mar 13, 2017. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Culver City, CA. The record was last updated on Mar 13, 2017.