MEDICARE: ADVANCED MEDICAL TECHNOLOGY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1578617122
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED MEDICAL TECHNOLOGY, INC

Provider Business Mailing Address
First Line	:	1482 E VALLEY RD
Second Line	:	47
City	:	SANTA BARBARA
State	:	CA
Zip	:	93108-1200
Country	:	US
Telephone Number	:	805-969-0606
Fax Number	:	805-969-3630

Provider Business Practice Location Address
First Line	:	1482 E VALLEY RD
Second Line	:	47
City	:	SANTA BARBARA
State	:	CA
Zip	:	93108-1200
Country	:	US
Telephone Number	:	805-969-0606
Fax Number	:	805-969-3630

Authorized Official
Title or Position	:	PRESIDENT CEO
Name	:	MR. ROYAL MARCUS MARTEN
Credential	:
Telephone Number	:	805-969-0606

Provider Enumeration Date	:	01/22/2007
Last Update Date	:	08/22/2020

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