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Contact Information

ADVANCED HEALTHCARE ASSOCIATES, INC
17220 NEWHOPE ST
125
FOUNTAIN VALLEY, CA92708-4272
 Phone: 714-435-0600
 Fax: 714-960-8007
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ADVANCED HEALTHCARE ASSOCIATES, INC

NPI Number 1396055414
LBN Legal business name ADVANCED HEALTHCARE ASSOCIATES, INC
Authorized official NELLY BOUTROS - (ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 10/08/2010
Last updated 10/08/2010 - About 16 years ago
Identifiers
CA License # A37535
CA License # A47792
CA License # G32104
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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