Organization
ADVANTAGE HEALTH SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL BUNDANG (CEO)
(858) 433-0469
Entity
Organization
Contact information
Practice address
9663 TIERRA GRANDE ST, SUITE #101, SAN DIEGO, CA 92126-4569
(858) 433-0469
(858) 433-0479
Mailing address
9663 TIERRA GRANDE ST, SUITE #101, SAN DIEGO, CA 92126-4569
(858) 433-0469
(858) 433-0479
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
550000163
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550000163
CDPH LICENSE
CA
05
—
HHA08355F
—
CA
Enumeration date
12/28/2006
Last updated
10/31/2018
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