Organization
EGB HOLDINGS
Active
Other names
Advantage Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL BUNDANG (CEO)
(714) 557-5506
Entity
Organization
Contact information
Practice address
151 KALMUS DR STE D101, COSTA MESA, CA 92626-5959
(714) 557-5506
(714) 557-5507
Mailing address
PO BOX 261485, SAN DIEGO, CA 92196-1485
(714) 557-5506
(714) 557-5507
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550001885
CDPH LICENSE
CA
Enumeration date
07/07/2011
Last updated
10/31/2018
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