Provider Demographics
NPI:1679510598
Name:ADVANTAGE PLUS MEDICAL CENTER, INC.
Entity type:Organization
Organization Name:ADVANTAGE PLUS MEDICAL CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:NAGUIB
Authorized Official - Middle Name:
Authorized Official - Last Name:BEBAWI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-260-0744
Mailing Address - Street 1:18021 SKY PARK CIR
Mailing Address - Street 2:BLDG. 68, STE. H&G
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6523
Mailing Address - Country:US
Mailing Address - Phone:949-260-0744
Mailing Address - Fax:949-260-0750
Practice Address - Street 1:18021 SKY PARK CIR
Practice Address - Street 2:BLDG. 68, STE. H&G
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6523
Practice Address - Country:US
Practice Address - Phone:949-260-0744
Practice Address - Fax:949-260-0750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA46833261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A463880Medicaid
CAGR0094500Medicaid
CA00A463880Medicaid
CAF00960Medicare UPIN