Avantgarde Medical, Inc

Primary specialty

Legal Medicine (M.D./D.O.) PhysicianTaxonomy code 209800000X

Legal business name

AVANTGARDE MEDICAL, INC

Practice address

4601 Wilshire Blvd FL 3
Los Angeles, CA 90010-3884

Phone

(323) 556-3470

NPI assigned

Dec 30, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Yury Furman

Title

Medical Director

Phone

(323) 556-3470

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1388361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388361600000",
    "number": "1043631526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 WILSHIRE BLVD FL 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103884",
            "telephone_number": "323-556-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 WILSHIRE BLVD FL 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103884",
            "telephone_number": "323-556-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANTGARDE MEDICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-30",
        "last_updated": "2013-12-30",
        "status": "A",
        "authorized_official_last_name": "FURMAN",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-556-3470",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "209800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine (M.D./D.O.) Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Legal Medicine (M.D./D.O.) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2013; 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.