Organization
AVAMED WORKFORCE LLC
Active
Other names
AvaMed Healthcare Services, AvaMed Healthcare Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
ORLANDO RAY GARCIA (CEO)
(818) 448-6393
Entity
Organization
Contact information
Practice address
12955 RIVERSIDE DR APT 204, SHERMAN OAKS, CA 91423-2202
(818) 448-6393
(818) 484-4449
Mailing address
12955 RIVERSIDE DR APT 204, SHERMAN OAKS, CA 91423-2202
(818) 448-6393
(818) 484-4449
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QR1300X
Rural Health Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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