MEDICARE: ADVANCED HEALTHCARE SPECIALISTS 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	225B00000X	Pulmonary Function Technologist

General Provider Information

NPI Number	:	1659539450
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HEALTHCARE SPECIALISTS INC

Provider Business Mailing Address
First Line	:	417 ARDEN AVE
Second Line	:	SUITE 106-B
City	:	GLENDALE
State	:	CA
Zip	:	91203-4045
Country	:	US
Telephone Number	:	818-243-8900
Fax Number	:

Provider Business Practice Location Address
First Line	:	417 ARDEN AVE
Second Line	:	SUITE 106-B
City	:	GLENDALE
State	:	CA
Zip	:	91203-4045
Country	:	US
Telephone Number	:	818-243-8900
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	STEPAN NERSISYAN
Credential	:
Telephone Number	:	818-243-8500

Provider Enumeration Date	:	05/28/2008
Last Update Date	:	05/28/2008

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