Provider Demographics
NPI:1851572093
Name:ADVANCED HEALTHCARE INSTITUTE
Entity Type:Organization
Organization Name:ADVANCED HEALTHCARE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEIBANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-298-2653
Mailing Address - Street 1:6200 WILSHIRE BLVD STE 1702
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-5818
Mailing Address - Country:US
Mailing Address - Phone:323-456-2600
Mailing Address - Fax:
Practice Address - Street 1:6200 WILSHIRE BLVD STE 1702
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-5818
Practice Address - Country:US
Practice Address - Phone:323-456-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical