Avalon Medical Group of Whittier Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

A33793 Issued in CA

Legal business name

AVALON MEDICAL GROUP OF WHITTIER INC.

Practice address

16030 Ventura Blvd
Ste 200
Encino, CA 91436-2754

Phone

(818) 461-5030

Fax

(818) 461-5095

NPI assigned

Apr 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Diane Penn

Title

Compliance Officer

Phone

(818) 461-5030

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1003039132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16030 VENTURA BLVD",
            "address_2": "STE 200",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362754",
            "telephone_number": "818-461-5030",
            "fax_number": "818-461-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16030 VENTURA BLVD",
            "address_2": "STE 200",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362754",
            "telephone_number": "818-461-5030",
            "fax_number": "818-461-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALON MEDICAL GROUP OF WHITTIER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "PENN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "818-461-5030",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "A33793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aundrey'S Residential Care, Inc.
• Aurora Recovery
• Autism Behavior Intervention, Inc.
• Melody Christina Avakian, DO
• Setrag Avakian
• Kally Avalos-Alvarado
• Alicia Avalos
• Maricruz Avalos
• Viviana Araceli Avalos
• Avani Outpatient Surgical Center, Inc.

• Health Maintenance Organization in Encino, CA
• Providers in Encino, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.