Advantage Health and Fitness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ADVANTAGE HEALTH AND FITNESS

Doing business as

Fitness Advantage

Practice address

1200 S Diamond Bar Blvd
Suite#108
Diamond Bar, CA 91765-2298

Phone

(909) 396-0309

Fax

(909) 396-0619

NPI assigned

Jan 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kelvin Pruenster

Title

President

Phone

(909) 396-0309

Specialties & licenses 1

Addresses

Other names 1

• Fitness Advantage Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720139207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 S DIAMOND BAR BLVD # 112",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654122",
            "telephone_number": "909-396-0309",
            "fax_number": "909-396-0619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S DIAMOND BAR BLVD",
            "address_2": "SUITE#108",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652298",
            "telephone_number": "909-396-0309",
            "fax_number": "909-396-0619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE HEALTH AND FITNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRUENSTER",
        "authorized_official_first_name": "KELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-396-0309",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitness Advantage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.