# AVALON LA

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

## Provider details

- **NPI number:** 1457145690
- **Authorized official:** CELINE MORADI (PRESIDENT)
- **Authorized official phone:** (818) 599-3736

## Contact information

- **Practice address:** 6622 CRENSHAW BLVD, LOS ANGELES, CA 90043-4102
- **Practice address phone:** (818) 599-3736
- **Mailing address:** 435 ARDEN AVE STE 380, GLENDALE, CA 91203-1147
- **Mailing address phone:** (818) 599-3736

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/04/2025
- **Last updated:** 04/04/2025