Provider Demographics
NPI:1992214191
Name:CENTER FOR ADVANCED HEALING, INC
Entity Type:Organization
Organization Name:CENTER FOR ADVANCED HEALING, INC
Other - Org Name:HYPERBARIC CENTER FOR ADVANCED HEALING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-629-8988
Mailing Address - Street 1:23164 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1101
Mailing Address - Country:US
Mailing Address - Phone:818-629-8988
Mailing Address - Fax:818-914-5677
Practice Address - Street 1:23164 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1101
Practice Address - Country:US
Practice Address - Phone:818-629-8988
Practice Address - Fax:818-914-5677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2083P0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083P0011XAllopathic & Osteopathic PhysiciansPreventive MedicineUndersea and Hyperbaric MedicineGroup - Single Specialty