Provider Demographics
NPI:1881861532
Name:ADVANCED PROSTHETICS INC.
Entity Type:Organization
Organization Name:ADVANCED PROSTHETICS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MAJID
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHRAFY
Authorized Official - Suffix:
Authorized Official - Credentials:CP
Authorized Official - Phone:310-621-9950
Mailing Address - Street 1:301 N PRAIRIE AVE
Mailing Address - Street 2:SUITE 411
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-4507
Mailing Address - Country:US
Mailing Address - Phone:310-671-5330
Mailing Address - Fax:310-671-5331
Practice Address - Street 1:301 N PRAIRIE AVE
Practice Address - Street 2:SUITE 411
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-4507
Practice Address - Country:US
Practice Address - Phone:310-671-5330
Practice Address - Fax:310-671-5331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6117870001Medicare NSC