# ADVANCE SPECIALTY CARE SOUTH, INC.

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

## Provider details

- **NPI number:** 1417332057
- **Authorized official:** MR. JOHN P SIMBULAN (OWNER)
- **Authorized official phone:** (951) 310-3338

## Contact information

- **Practice address:** 12437 LEWIST STREET, 201, GARDEN GROVE, CA 92840-5817
- **Practice address phone:** (714) 276-1115
- **Practice address fax:** (714) 276-1112
- **Mailing address:** 12437 LEWIST ST, 201, GARDEN GROVE, CA 92840-5817
- **Mailing address phone:** (714) 276-1115
- **Mailing address fax:** (714) 276-1112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/24/2015
- **Last updated:** 07/24/2015