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

Avantis Neuroscience Inc

Organization Clinical Neurophysiology Physician · NPI 1396278321

Avantis Neuroscience Inc is a Clinical Neurophysiology Physician 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.

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Practice location Address checks out

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

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