Organization · Type 2 NPI
Avanta Medical Group
General Practice Physician · Van Nuys, CA
NPI number
1770429102
Active
Practice location
14649 Victory Blvd Ste 22
Van Nuys, CA 91411-4101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Registered Nurse | 163WI0500X | None listed |
| Pain Management Registered Nurse | 163WP0000X | None listed |
| General Practice Physician Primary | 208D00000X | None listed |
| Podiatrist | 213E00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1770429102
Avanta Medical Group's National Provider Identifier is 1770429102, issued on Apr 27, 2026. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Van Nuys, CA. The record was last updated on Apr 27, 2026.