Provider Demographics
NPI:1841479573
Name:ADVANCED BIONICS, LLC.
Entity type:Organization
Organization Name:ADVANCED BIONICS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, REIMBURSEMENT DEPT
Authorized Official - Prefix:
Authorized Official - First Name:DUC
Authorized Official - Middle Name:
Authorized Official - Last Name:DIEP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-829-0026
Mailing Address - Street 1:28515 WESTINGHOUSE PL
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1398
Mailing Address - Country:US
Mailing Address - Phone:877-779-0229
Mailing Address - Fax:877-833-6318
Practice Address - Street 1:28515 WESTINGHOUSE PL
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1398
Practice Address - Country:US
Practice Address - Phone:877-779-0229
Practice Address - Fax:877-833-6318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
6126850001Medicare NSC