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General NPI Number Information
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NPI Number | 1114048857
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Entity Type | Organization
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Legal Business Name | AVALON FAMILY MEDICAL GROUP INC
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 1626 N AVALON BLVD
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City | WILMINGTON
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State | CA
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Zip | 90744-1431
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Country | US
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Telephone | 310-834-4666
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Fax | 310-834-5538
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Provider Business Mailing Address
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Address Line | 1626 N AVALON BLVD
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City | WILMINGTON
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State | CA
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Zip | 90744-1431
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Country | US
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Telephone | 310-834-4666
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Fax | 310-834-5538
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Authorized Official
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Title or Position | MD
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Name | EDGAR IBRAHIM EL SAYAD
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Credential |
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Telephone | 310-325-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A41141
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License Number State | CA
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