Provider Demographics
NPI:1821482100
Name:ADVANTAGE HOSPITAL INC
Entity Type:Organization
Organization Name:ADVANTAGE HOSPITAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AFSHIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMET
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-609-1995
Mailing Address - Street 1:4240 LOST HILLS RD UNIT 3103
Mailing Address - Street 2:
Mailing Address - City:AGOURA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-5392
Mailing Address - Country:US
Mailing Address - Phone:818-609-1995
Mailing Address - Fax:
Practice Address - Street 1:4240 LOST HILLS RD UNIT 3103
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-5392
Practice Address - Country:US
Practice Address - Phone:818-609-1995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-24
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty