Healthcare Provider Details

I. General information

NPI: 1841479573
Provider Name (Legal Business Name): ADVANCED BIONICS, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2007
Last Update Date: 09/07/2023
Certification Date: 09/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28515 WESTINGHOUSE PL
VALENCIA CA
91355-1398
US

IV. Provider business mailing address

28515 WESTINGHOUSE PL
VALENCIA CA
91355-1398
US

V. Phone/Fax

Practice location:
  • Phone: 877-779-0229
  • Fax: 877-833-6318
Mailing address:
  • Phone: 877-779-0229
  • Fax: 877-833-6318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: DUC DIEP
Title or Position: DIRECTOR, REIMBURSEMENT DEPT
Credential:
Phone: 877-829-0026