| Avant Rx | |
|
1100 S Coast Hwy Ste 214 Laguna Beach CA 92651-2975 | |
| (949) 715-4418 | |
| (949) 715-4419 |
| Full Name | Avant Rx |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1100 S Coast Hwy Ste 214, Laguna Beach, California |
| Authorized Official Name and Position | Laquicha Westervelt (CEO) |
| Authorized Official Contact | 9493511044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avant Rx 1100 S Coast Hwy Ste 214 Laguna Beach CA 92651-2975 Ph: (949) 715-4418 | Avant Rx 1100 S Coast Hwy Ste 214 Laguna Beach CA 92651-2975 Ph: (949) 715-4418 |
| NPI Number | 1811543325 |
|---|---|
| Provider Enumeration Date | 08/12/2019 |
| Last Update Date | 02/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811543325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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