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Advanced Healthcare Administration

Case Manager/Care Coordinator in Fullerton, CA. Organization (NPI-2).

NPI number1336747013
StatusActive
Last updated in NPPESApr 29, 2025

Details

NPI
1336747013
Entity type
Organization (NPI-2)
Legal business name
Advanced Healthcare Administration
Organization subpart
No
Enumeration date
Oct 14, 2020
Certification date
Apr 29, 2025
Last updated
Apr 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
251B00000X Case Management––
251V00000X Voluntary or Charitable––
251X00000X Supports Brokerage––
385H00000X Respite Care––

Practice location

100 N State College Blvd Ste C
Fullerton, CA 92831-4236

Phone 213-306-8129 · Fax 866-200-6794

Mailing address

4800 Gage Ave Ste 4
Bell, CA 90201-1425

Phone 562-565-3529 · Fax 668-200-6794

Other practice locations

4800 Gage Ave Ste 4
Bell, CA 90201-1425

Phone 213-306-8129 · Fax 866-200-6794

Authorized official

Ana V Moncada
Program Administrator
5625653529

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