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NPI Code Detail

MEDICARE: ADVANCED HOME HEALTH CARE, INC

MEDICARE: ADVANCED HOME HEALTH CARE, 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
1251E00000XHome Health AgencyCA

General Provider Information

NPI Number : 1730271354
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED HOME HEALTH CARE, INC
Provider Business Mailing Address
First Line : 321 N LARCHMONT BLVD STE 921
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-6409
Country : US
Telephone Number : 323-467-2223
Fax Number : 323-467-2228
Provider Business Practice Location Address
First Line : 321 N LARCHMONT BLVD STE 921
Second Line :
City : LOS ANGELES
State : CA
Zip : 90004-6409
Country : US
Telephone Number : 323-467-2223
Fax Number : 323-467-2228
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. KRISTIAN C BUENO
Credential :
Telephone Number : 323-467-2223
Provider Enumeration Date : 09/29/2006
Last Update Date : 01/25/2008

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Directions to “ADVANCED HOME HEALTH CARE, INC ” Practice Location

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