Advanced Wellness Medical

LBN: Advanced Wellness West Valley Medical Group Inc
Advanced Wellness Medical is an health care organization with primary practice located at 4116 W Magnolia Blvd Ste 100 , Burbank CA 91505-2706. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Advanced Wellness West Valley Medical Group Inc can be contacted via phone (310) 879-9266, or through Lawrence, Allen L via phone (310) 879-9266.

Contact Information

Primary practice address
4116 W Magnolia Blvd Ste 100 Burbank CA 91505-2706
Phone: (310) 879-9266
Fax: (818) 279-0787
Website:
Map and Directions
Authorized official contact:
Name: Lawrence, Allen L
Phone: (310) 879-9266

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1972124675
LBN Legal business name Advanced Wellness West Valley Medical Group Inc
DBA Doing business as Advanced Wellness Medical
Authorized official Lawrence, Allen L
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2020
Last updated Jan 24th, 2024 - about 11 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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