Organization
AVANGUARD MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIYA TEPMAN (ADMINISTRATOR)
(818) 344-0070
Entity
Organization
Contact information
Practice address
5620 WILBUR AVE STE 207, TARZANA, CA 91356-1309
(818) 344-0070
Mailing address
5620 WILBUR AVE STE 207, TARZANA, CA 91356-1309
(818) 344-0070
Taxonomy
Speciality
Code
Description
License number
State
2471V0106X
Vascular-Interventional Technology Radiologic Technologist
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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