Organization
ADVANCED HEALTHCARE ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANA V MONCADA (PROGRAM ADMINISTRATOR)
(562) 565-3529
Entity
Organization
Contact information
Practice address
100 N STATE COLLEGE BLVD STE C, FULLERTON, CA 92831-4236
(213) 306-8129
(866) 200-6794
Mailing address
4800 GAGE AVE STE 4, BELL, CA 90201-1425
(562) 565-3529
(668) 200-6794
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598132532
REGISTERED NURSE
CA
Enumeration date
10/14/2020
Last updated
04/29/2025
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