Healthcare Provider Details
I. General information
NPI: 1801692041
Provider Name (Legal Business Name): WELLBRIDGE HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/19/2025
Last Update Date: 01/21/2026
Certification Date: 01/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7412 FOOTHILL BLVD
TUJUNGA CA
91042-2722
US
IV. Provider business mailing address
7412 FOOTHILL BLVD
TUJUNGA CA
91042-2722
US
V. Phone/Fax
- Phone: 818-465-4200
- Fax: 818-465-4624
- Phone: 818-465-4200
- Fax: 818-465-4624
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HAPETNAK
SHAYBEKYAN
Title or Position: CEO
Credential: MD
Phone: 818-465-4200