# ANVAR MEDICAL GROUP

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

## Provider details

- **NPI number:** 1831539485
- **Authorized official:** DR. BARDIA ANVAR M.D. (PRESIDENT)
- **Authorized official phone:** (310) 445-5999

## Contact information

- **Practice address:** 9335 RESEDA BLVD STE 100, NORTHRIDGE, CA 91324
- **Practice address phone:** (310) 445-5999
- **Practice address fax:** (310) 445-6622
- **Mailing address:** 12021 WILSHIRE BLVD \# 745, LOS ANGELES, CA 90025-1206
- **Mailing address phone:** (310) 445-5999
- **Mailing address fax:** (310) 445-6622

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/27/2013
- **Last updated:** 11/26/2024