Organization
EDU ADVANCED NURSING, INC
Active
Other names
Resource Medical Center, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MIKEY THANTERAPHONG (MANAGER)
(818) 835-7355
Entity
Organization
Contact information
Practice address
2845 COCHRAN ST, SIMI VALLEY, CA 93065-2796
(818) 835-7355
Mailing address
PO BOX 336, AGOURA HILLS, CA 91376-0336
(818) 835-7355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
09/25/2025
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