Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avanta Medical Group

Organization Infusion Therapy Registered Nurse · NPI 1770429102

Avanta Medical Group is an Infusion Therapy Registered Nurse in Van Nuys, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4

Practice location Address checks out

14649 Victory Blvd Ste 22
Van Nuys, CA 91411-4101
Phone: (818) 796-5558
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Infusion Therapy Registered Nurse Taxonomy 163WI0500X
Pain Management Registered Nurse Taxonomy 163WP0000X
Podiatrist Taxonomy 213E00000X

Record details

NPI number1770429102
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vyacheslav Davtian — Ceo · (818) 796-5558
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address14649 Victory Blvd Ste 22, Van Nuys, CA 91411-4101