Organization
AVANGUARD SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRENE GAMPEL (MANAGER)
(818) 355-8868
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
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
05D1059354
CA
Other
Enumeration date
05/31/2007
Last updated
04/01/2011
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