Organization Active NPI

Vadim Avulov, D.O., P.C.

  • Surgery Physician
  • Torrance, CA
National Provider Identifier
1982011151
Registry record updated Jul 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20A13344 Issued in CA
Legal business name
VADIM AVULOV, D.O., P.C.
Practice address
24248 Crenshaw Blvd Ste 102
Torrance, CA 90505-7500
Phone
(917) 602-4507
NPI assigned
Jul 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2014

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

Authorized official

Name
Vadim Avulov, D.O.NPI 1700121472
Title
Physician
Phone
(917) 602-4507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 20A13344 CA Primary

Addresses

Primary practice location

24248 Crenshaw Blvd Ste 102
Torrance, CA 90505-7500

Mailing address

24248 Crenshaw Blvd Ste 102
Torrance, CA 90505-7500

National Provider Directory

National Provider Directory

Locations

24248 Crenshaw Blvd
Ste 102
Torrance, CA 90505
Phone (917) 602-4507

24248 Crenshaw Blvd
Ste 10
Torrance, CA 90505
Phone (917) 602-4507

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1982011151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24248 CRENSHAW BLVD STE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24248 CRENSHAW BLVD STE 102",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905057500",
            "telephone_number": "917-602-4507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VADIM AVULOV, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-18",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "AVULOV",
        "authorized_official_first_name": "VADIM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "917-602-4507",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A13344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.