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Organization
EDU ADVANCED NURSING, INC
Active
Organization
EDU ADVANCED NURSING, INC
Active
Other names
Resource Medical Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MIKEY THANTERAPHONG (MANAGER)
(818) 835-7355
Entity
Organization
Contact information
Practice address
2845 COCHRAN ST, SIMI VALLEY, CA 93065-2796
(818) 835-7355
Mailing address
PO BOX 336, AGOURA HILLS, CA 91376-0336
(818) 835-7355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
09/25/2025
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