OrganizationActive
Avalon Family Medical Group
NPI 1295938124 · Podiatrist · Wilmington, CA
Provider details
- NPI number
- 1295938124
- Entity type
- Organization
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Authorized official
- Ross Berliner, Podiatrist
- License
- E3948 (CA)
Practice location
1626 N Avalon Blvd
Wilmington, CA 90744-1431
Phone: (310) 834-4666
Fax: (310) 834-5538
Mailing address
3545 Griffith Park Blvd
Los Angeles, CA 90027-1404
Registry dates
- Enumerated
- 2007-06-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.