Organization
EGB HOLDINGS
Active
Other names
Advantage Health Systems
Organization subpart
No
Provider details
NPI number
Authorized official
EMIL BUNDANG (CEO)
(951) 686-0003
Entity
Organization
Contact information
Practice address
4100 LATHAM STREET, SUITE D, RIVERSIDE, CA 92501-1733
(951) 686-0003
(951) 686-0005
Mailing address
PO BOX 261485, SAN DIEGO, CA 92196-1485
(951) 686-0003
(951) 686-0005
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550001894
CDPH LICENSE
CA
Enumeration date
07/07/2011
Last updated
10/31/2018
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