# AVANGUARD SURGERY CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356543656
- **Authorized official:** IRENE GAMPEL (MANAGER)
- **Authorized official phone:** (818) 355-8868

## Contact information

- **Practice address:** 5620 WILBUR AVE STE 207, TARZANA, CA 91356-1309
- **Practice address phone:** (818) 344-0070
- **Mailing address:** 5620 WILBUR AVE STE 207, TARZANA, CA 91356-1309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 05D1059354 | CA | Yes |

## Other

- **Enumeration date:** 05/31/2007
- **Last updated:** 04/01/2011