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Organization
VIDA AVANTI MEDICINE
Active
Organization
VIDA AVANTI MEDICINE
Active
Other names
Vida Avanti Regenerative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON MALIZZI NP (CEO)
(424) 390-7606
Entity
Organization
Contact information
Practice address
3350 E 7TH ST # 519, LONG BEACH, CA 90804-5003
(424) 390-7606
Mailing address
3013 KEELING AVE, NASHVILLE, TN 37216-3015
(842) 566-2214
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
09/02/2025
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