VIA AVANTA

CULVER CITY, CA
NPI1639610462
Entity TypeOrganization
Authorized ContactMAYLI EUNICE TORRES
Assistant Counsler
818-561-9415
Organization Subpart ?No
Primary Taxonomy261QC1500X Clinic/Center, Community Health
(Licence: CA  172V00000X)
Enumeration Date2017-03-13
Last Update Date2017-03-13
Business Address
VIA AVANTA
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Phone number: 310-390-6612
Mailing Address
VIA AVANTA
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230
Phone number: 310-390-6612