Organization Active NPI

Advanced Dynamics Inc

  • Health Service Clinic/Center
  • Los Angeles, CA
National Provider Identifier
1013015601
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Matthew Reddick Perry, RPTNPI 1356363360
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.