Healthcare Provider Details

I. General information

NPI: 1215688254
Provider Name (Legal Business Name): ADVANTAGE HEALTH CARE SERVICES - MISSION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2022
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4631 TELLER AVE STE 110
NEWPORT BEACH CA
92660-8105
US

IV. Provider business mailing address

17011 BEACH BLVD STE 200
HUNTINGTON BEACH CA
92647-7421
US

V. Phone/Fax

Practice location:
  • Phone: 949-418-8495
  • Fax: 949-418-8563
Mailing address:
  • Phone: 714-706-9030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ZEGLINSKI
Title or Position: CEO
Credential:
Phone: 714-706-9030