MEDICARE: ADVANCED GYNECOLOGY SOLUTIONS, 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	207VG0400X	Gynecology Physician	G88913	CA

General Provider Information

NPI Number	:	1770843104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED GYNECOLOGY SOLUTIONS, INC.

Provider Business Mailing Address
First Line	:	3808 W RIVERSIDE DR STE 503
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-5301
Country	:	US
Telephone Number	:	818-843-8700
Fax Number	:	818-330-4522

Provider Business Practice Location Address
First Line	:	3808 W RIVERSIDE DR STE 503
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91505-5301
Country	:	US
Telephone Number	:	818-843-8700
Fax Number	:	818-330-4522

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. STEVEN A RABIN
Credential	:	M.D.
Telephone Number	:	818-843-8700

Provider Enumeration Date	:	05/18/2012
Last Update Date	:	08/17/2025

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