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Organization

AVANTGARDE MEDICAL, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. YURY FURMAN (MEDICAL DIRECTOR)
(323) 556-3470
Entity
Organization

Contact information

Practice address
4601 WILSHIRE BLVD FL 3, LOS ANGELES, CA 90010-3884
(323) 556-3470
Mailing address
4601 WILSHIRE BLVD FL 3, LOS ANGELES, CA 90010-3884
(323) 556-3470

Taxonomy

Speciality
Code
Description
License number
State
209800000X
Legal Medicine (M.D./D.O.) Physician
Primary

Other

Enumeration date
12/30/2013
Last updated
12/30/2013
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