National Provider Identifier Database

AVANGUARD MEDICAL GROUP INC
Vascular-Interventional Technology Radiologic Technologist

A radiologic technologist who specializes in vascular interventional and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of vascular interventional imaging, exam techniques, equipment protocols, radiation safety, and patient care.


Contact Information

AVANGUARD MEDICAL GROUP INC
5620 WILBUR AVE STE 207
TARZANA, CA91356-1309
Phone: 818-344-0070
Fax:
Website:
Specialty Taxonomy Code
* Vascular-Interventional Technology Radiologic Technologist 2471V0106X

* Indicates primary specialty

NPI Profile & details for AVANGUARD MEDICAL GROUP INC

NPI Number 1336746221
Legal business name
LBN
AVANGUARD MEDICAL GROUP INC
Authorized official VICTORIYA TEPMAN - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 10/05/2020
Last updated 10/05/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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