Provider Demographics
NPI:1063634707
Name:ADVANCED ARM DYNAMICS, INC.
Entity type:Organization
Organization Name:ADVANCED ARM DYNAMICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZATIONS COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CASTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-372-3050
Mailing Address - Street 1:123 W TORRANCE BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3610
Mailing Address - Country:US
Mailing Address - Phone:310-372-3050
Mailing Address - Fax:310-372-3057
Practice Address - Street 1:123 W TORRANCE BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3610
Practice Address - Country:US
Practice Address - Phone:310-372-3050
Practice Address - Fax:310-372-3057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier