Provider Demographics
NPI:1659539450
Name:ADVANCED HEALTHCARE SPECIALISTS INC
Entity Type:Organization
Organization Name:ADVANCED HEALTHCARE SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NERSISYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-243-8500
Mailing Address - Street 1:417 ARDEN AVE
Mailing Address - Street 2:SUITE 106-B
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-4045
Mailing Address - Country:US
Mailing Address - Phone:818-243-8900
Mailing Address - Fax:
Practice Address - Street 1:417 ARDEN AVE
Practice Address - Street 2:SUITE 106-B
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-4045
Practice Address - Country:US
Practice Address - Phone:818-243-8900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225B00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPulmonary Function TechnologistGroup - Single Specialty