Healthcare Provider Details

I. General information

NPI: 1750299517
Provider Name (Legal Business Name): ADVANCED MEDICAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 W 6TH ST STE 400
RENO NV
89503-4553
US

IV. Provider business mailing address

236 W 6TH ST STE 400
RENO NV
89503-4553
US

V. Phone/Fax

Practice location:
  • Phone: 775-870-1082
  • Fax: 775-870-1110
Mailing address:
  • Phone: 775-870-1082
  • Fax: 775-870-1110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ASHANGA YATAWATTA
Title or Position: ADMINISTRATION
Credential:
Phone: 775-870-1082