EGB HOLDINGS NPI 1871942029

NPI Information

EGB HOLDINGS is a hospice care community based in Costa Mesa, CA. EGB HOLDINGS NPI is 1871942029. The provider is registered as an organization entity type.
The provider Is Doing Business As Advantage Health Systems.

The provider's business location address is:

151 KALMUS DR
SUITE D-104
COSTA MESA, CA
ZIP 92626-988
Phone: (714) 668-9302
Fax: (714) 668-9304

The provider's authorized official is Emil Bundang .
The authorized official title is Ceo and has the following contact phone number (714) 668-9302.

The CLIA number assigned to this NPI record is 05D2123121 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2016 and was last updated on 10/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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