Provider Demographics
NPI:1245965557
Name:ADVANCED DME SERVICES, INC.
Entity type:Organization
Organization Name:ADVANCED DME SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:WAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-735-6705
Mailing Address - Street 1:27349 JEFFERSON AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-5611
Mailing Address - Country:US
Mailing Address - Phone:800-758-7571
Mailing Address - Fax:888-223-1049
Practice Address - Street 1:4333 VIEWRIDGE AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1619
Practice Address - Country:US
Practice Address - Phone:800-758-7571
Practice Address - Fax:888-223-1049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-20
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies