Active NPI
Advanced Dynamics Inc
- Health Service Clinic/Center
- Los Angeles, CA
National Provider Identifier
1013015601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- ADVANCED DYNAMICS INC
- Practice address
- 3717 S la Brea Ave
Suite 204
Los Angeles, CA 90016-5354 - Phone
- (323) 295-5836
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew Reddick Perry, RPT
- Title
- Cee/Owner
- Phone
- (323) 295-5836
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | CA | Primary |
Addresses
Primary practice location
3717 S la Brea Ave
Suite 204
Los Angeles, CA 90016-5354
Mailing address
3717 S la Brea Ave
Suite 204
Los Angeles, CA 90016-5354
Phone (323) 295-5836
National Provider Directory
National Provider DirectoryLocations
3717 S La Brea Ave
Ste 204
Los Angeles, CA 90016
Phone (323) 295-5836
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Inglewood, CA
- NPI 1356363360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1013015601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3717 S LA BREA AVE",
"address_2": "SUITE 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900165354",
"telephone_number": "323-295-5836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3717 S LA BREA AVE",
"address_2": "SUITE 204",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900165354",
"telephone_number": "323-295-5836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED DYNAMICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "PERRY",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "REDDICK",
"authorized_official_title_or_position": "CEE/OWNER",
"authorized_official_telephone_number": "323-295-5836",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPT"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
- Advanced Care Prosthetics and Orthotics
- Advanced Caring Podiatry PC
- Advanced Diagnostic & Management
- Advanced Diagnostic Services Inc.
- Advanced Diagnostics
- Advanced Family Care Home Health
- Advanced Family Care Medical Group Inc
- Advanced Family Care Medical Laboratory
- Advanced Gastrointestinal Endoscopy LLC
- Advanced Healthcare Institute
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.