Advanced Tissue Clinic

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ADVANCED TISSUE CLINIC

Practice address

5250 Lankershim Blvd # 531
North Hollywood, CA 91601-3186

Phone

(818) 377-1643

NPI assigned

Oct 7, 2026

Last updated

Oct 7, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marina Varbanova

Title

Ceo

Phone

(818) 377-1643

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791331200000",
    "number": "1770487241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 LANKERSHIM BLVD # 531",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013186",
            "telephone_number": "818-377-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 LANKERSHIM BLVD # 531",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916013186",
            "telephone_number": "818-377-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED TISSUE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-07",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A",
        "authorized_official_last_name": "VARBANOVA",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-377-1643"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.