| NPI | 1811543325 |
|---|---|
| Doing Business As | AVANT RX |
| Entity Type | Organization |
| Authorized Contact | LAQUICHA WESTERVELT CEO 949-351-1044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2020-02-21 |