Provider Demographics
NPI:1508916966
Name:INSTITUTE FOR HEALTHCARE ADVANCEMENT
Entity Type:Organization
Organization Name:INSTITUTE FOR HEALTHCARE ADVANCEMENT
Other - Org Name:FRIENDS OF CHILDREN HEALTH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:MS
Authorized Official - First Name:CATREACE
Authorized Official - Middle Name:
Authorized Official - Last Name:GILMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-690-4001
Mailing Address - Street 1:501 S IDAHO ST
Mailing Address - Street 2:SUITE#300
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-6047
Mailing Address - Country:US
Mailing Address - Phone:562-690-4001
Mailing Address - Fax:562-690-8988
Practice Address - Street 1:501 S IDAHO ST
Practice Address - Street 2:SUITE #190
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-6047
Practice Address - Country:US
Practice Address - Phone:562-690-0400
Practice Address - Fax:562-690-3182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty