OrganizationActive
Avalon Medical Group of Whittier Inc.
NPI 1003039132 · Health Maintenance Organization · Encino, CA
Provider details
- NPI number
- 1003039132
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Diane Penn, Compliance Officer(818) 461-5030
- License
- A33793 (CA)
Specialties & taxonomies
Managed Care Organizations
Practice location
16030 Ventura Blvd
Ste 200
Encino, CA 91436-2754
Phone: (818) 461-5030
Fax: (818) 461-5095
Approximate (ZIP-level) locationGet directions
Mailing address
16030 Ventura Blvd
Encino, CA 91436-2754
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2008-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.