Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Avantis Neuroscience Inc

Organization Clinical Neurophysiology Physician · NPI 1396278321

Avantis Neuroscience Inc provides Clinical Neurophysiology Physician services in Los Angeles, California. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

12401 Wilshire Blvd Ste 104
Los Angeles, CA 90025-1015
Phone: (323) 682-0182
Show map & directions

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

Specialties & licences

Clinical Neurophysiology Physician (primary) Taxonomy 2084N0600X

Record details

NPI number1396278321
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeffrey Chung — Ceo · (323) 682-0182
NPI enumeratedApril 6, 2017
Last updated in NPPESJanuary 23, 2020
Certification dateJanuary 23, 2020
Mailing address1807 Wilshire Blvd Ste A, Santa Monica, CA 90403-5678

Other providers in Los Angeles