=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194433128
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A&A ADVANCED CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/08/2022
-----------------------------------------------------
Last Update Date | 11/08/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2005 DE LA CRUZ BLVD STE 287
-----------------------------------------------------
City | SANTA CLARA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95050-3031
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-222-6355
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 837 KALTHOFF CMN
-----------------------------------------------------
City | LIVERMORE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94550-6488
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-785-2000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | GURPREET D SANDHU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 925-785-2000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------