AVANTA MEDICAL GROUP – NPI #1770429102
General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
AVANTA MEDICAL GROUP is a provider located in VAN NUYS, CA. NPPES recently assigned the NPI number 1770429102 to AVANTA MEDICAL GROUP on April 27, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.
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NPI Profile for
AVANTA MEDICAL GROUP
(about 5 weeks ago)
VAN NUYS, CA 91411-4101 Phone: (818) 796-5558 Fax:
CEO
Phone: (818) 796-5558
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A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 208D00000X - General Practice (Primary) |
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| 213E00000X - Podiatrist |
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| 163WP0000X - Registered Nurse / Pain Management |
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| 163WI0500X - Registered Nurse / Infusion Therapy |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.