Advanced Wellness West Valley Medical Group INC
NPI #1972124675 in Burbank, California
Provider Information
- NPI Number
- 1972124675
- Entity Type
- Organization
- Organization Name
- Advanced Wellness West Valley Medical Group INC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- May 4, 2020
- Last Updated
- Jan 24, 2024
Practice Location
- Address
- 4116 W MAGNOLIA BLVD STE 100
- City
- Burbank
- State
- California
- ZIP Code
- 91505-2706
- Phone
- (310) 879-9266
Authorized Official
- Name
- ALLEN L LAWRENCE
- Title
- OWNER
- Phone
- (310) 879-9266
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preventive Medicine - Preventive Medicine/Occupational Environmental Medicine — Preventive Medicine/Occupational Environmental Medicine |
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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