Organization
ADVANTAGE HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL BUNDANG (CEO)
(858) 547-0077
Entity
Organization
Contact information
Practice address
9663 TIERRA GRANDE ST, SUITE 204, SAN DIEGO, CA 92126-4570
(858) 547-0077
(858) 547-0078
Mailing address
9663 TIERRA GRANDE ST, SUITE 204, SAN DIEGO, CA 92126-4570
(858) 547-0077
(858) 547-0078
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
550001984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550001984
CDPH LICENSE
CA
Enumeration date
10/20/2011
Last updated
10/31/2018
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