# ADVANCED HEALTHCARE ADMINISTRATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336747013
- **Authorized official:** ANA V MONCADA (PROGRAM ADMINISTRATOR)
- **Authorized official phone:** (562) 565-3529

## Contact information

- **Practice address:** 100 N STATE COLLEGE BLVD STE C, FULLERTON, CA 92831-4236
- **Practice address phone:** (213) 306-8129
- **Practice address fax:** (866) 200-6794
- **Mailing address:** 4800 GAGE AVE STE 4, BELL, CA 90201-1425
- **Mailing address phone:** (562) 565-3529
- **Mailing address fax:** (668) 200-6794

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |
| 251X00000X | Supports Brokerage Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 10/14/2020
- **Last updated:** 04/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1598132532 | REGISTERED NURSE | CA |