OrganizationActive
Advanced Wellness West Valley Medical Group Inc
NPI 1972124675 · Multi-Specialty Clinic/Center · Burbank, CA
Provider details
- NPI number
- 1972124675
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Allen Lawrence, Owner
Practice location
4116 W Magnolia Blvd Ste 100
Burbank, CA 91505-2706
Phone: (310) 879-9266
Fax: (818) 279-0787
Mailing address
18653 Ventura Blvd # 384
Tarzana, CA 91356-4103
Registry dates
- Enumerated
- 2020-05-04
- Last updated
- 2024-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.