Organization
ADVANCE HEALTHMED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETROS PATATANIAN (OWNER/CEO)
(818) 290-3258
Entity
Organization
Contact information
Practice address
14532 FRIAR ST STE G, VAN NUYS, CA 91411-2358
(818) 290-3258
(818) 290-3371
Mailing address
14532 FRIAR ST STE G, VAN NUYS, CA 91411-2358
(818) 290-3258
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3334959-0001-0
BUSINESS LICENSE
—
Enumeration date
12/09/2022
Last updated
12/09/2022
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