Provider Demographics
NPI:1528518537
Name:ADVANCED INVESTMENT GROUP, INC.
Entity type:Organization
Organization Name:ADVANCED INVESTMENT GROUP, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:HOANG
Authorized Official - Last Name:TRUONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-751-1326
Mailing Address - Street 1:17155 NEWHOPE ST STE G
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4232
Mailing Address - Country:US
Mailing Address - Phone:714-751-1326
Mailing Address - Fax:714-751-1325
Practice Address - Street 1:17155 NEWHOPE ST STE G
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4232
Practice Address - Country:US
Practice Address - Phone:714-751-1326
Practice Address - Fax:714-751-1325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-13
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA800675242Medicaid
CA1528518537Medicaid