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ADVANCED WELLNESS MEDICAL
NPI 1972124675
Clinic/Center - Multi-Specialty in Burbank, CA

Active since May 04, 2020
4116 W MAGNOLIA BLVD STE 100, BURBANK, CA 91505(310) 879-9266(818) 279-0787 Get Directions Write a Review

NPPES record last updated: January 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2020, May 4, 2020 (2 updates tracked since 2020).

About Advanced Wellness Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED WELLNESS MEDICAL (NPI 1972124675) is a healthcare organization registered as a multi-specialty in Burbank, California and active in the NPI registry since May 2020. The organization lists Allen L Lawrence, Owner, as its authorized official.

NPPES Registry Identity

NPI1972124675
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameADVANCED WELLNESS WEST VALLEY MEDICAL GROUP INC
Location Address4116 W MAGNOLIA BLVD STE 100Burbank, CA 91505-2706
Mailing Address18653 Ventura Blvd # 384Tarzana, CA 91356-4103 · (310) 879-9266
Phone(310) 879-9266
Fax(818) 279-0787
Organization SubpartNo
Authorized OfficialAllen L LawrenceOwner · (310) 879-9266
Enumeration DateMay 4, 2020
Last NPPES UpdateJanuary 24, 20242 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1972124675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedPreventive Medicine · Preventive Medicine/Occupational Environmental MedicineTaxonomy 2083P0500X
4116 W MAGNOLIA BLVD STE 100, Burbank, CA 91505
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Other Names 1

Doing Business AsAdvanced Wellness Medical

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Wellness West Valley Medical Group Inc's NPI number?

The NPI number for Advanced Wellness West Valley Medical Group Inc is 1972124675. It was assigned to this organization in the NPPES registry on May 4, 2020. The provider is doing business as Advanced Wellness Medical.

Where is Advanced Wellness West Valley Medical Group Inc located?

Advanced Wellness West Valley Medical Group Inc is located at 4116 W Magnolia Blvd Ste 100, Burbank, CA 91505. The listed phone number is (310) 879-9266.

What is Advanced Wellness West Valley Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Advanced Wellness West Valley Medical Group Inc was last updated on January 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.