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Via Avanta
Community Health Clinic/Center in Culver City, California
NPI 1639610462

Via Avanta is a Community Health Clinic/Center based in Culver City, CA and is specialized in Community Health. Via Avanta practices in Culver City, CA. The NPI Number for Via Avanta is 1639610462 and holds a License No. 172V00000X (California).

The current practice location address for Via Avanta is 4760 Sepulveda Blvd, Culver City, CA and can be reached out via phone at 310-390-6612.

Location: 4760 Sepulveda Blvd, Culver City, CA, 90230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639610462
Provider Name
Via Avanta
Credential
Provider Entity Type
Organization
Address
4760 Sepulveda Blvd, Culver City, CA, 90230
Phone Number
310-390-6612
Fax Number
Provider Enumeration Date
03/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4760 Sepulveda Blvd
City
Culver City
State
California
Zip
90230
Phone Number
310-390-6612
Fax Number
person
Provider Business Mailing Address Details
Address
4760 Sepulveda Blvd
City
Culver City
State
California
Zip
90230
Phone Number
310-390-6612
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
261QC1500X
License No.
172V00000X (California)
Definition
Definition to come...
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