OrganizationActive
Avaocado Medical Group
NPI 1932434438 · Non-Pharmacy Dispensing Site · Newport Beach, CA
Provider details
- NPI number
- 1932434438
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- G50213 (CA)
Specialties & taxonomies
Suppliers
Practice location
1441 Avocado Ave
702
Newport Beach, CA 92660-7721
Phone: (949) 720-9266
Approximate (ZIP-level) locationGet directions
Mailing address
8941 Atlanta Ave # 522
Huntington Beach, CA 92646-7121
Registry dates
- Enumerated
- 2009-10-16
- Last updated
- 2020-09-01
- Certified
- 2020-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.