Healthcare Provider Details

I. General information

NPI: 1851641880
Provider Name (Legal Business Name): ARCH HEALTH PARTNERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2012
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15611 POMERADO RD SUITE 580
POWAY CA
92064-2437
US

IV. Provider business mailing address

15611 POMERADO RD STE 400
POWAY CA
92064-2437
US

V. Phone/Fax

Practice location:
  • Phone: 858-592-2696
  • Fax: 858-592-0627
Mailing address:
  • Phone: 858-675-3100
  • Fax: 858-618-1523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: DENISE COTTER
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 760-291-6650