Healthcare Provider Details
I. General information
NPI: 1598180655
Provider Name (Legal Business Name): ADVENTIST HEALTH PHYSICIANS NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/26/2014
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
415 HOSPITAL DR STE A
UKIAH CA
95482-4545
US
IV. Provider business mailing address
PO BOX 888794
LOS ANGELES CA
90088-8794
US
V. Phone/Fax
- Phone: 707-467-5222
- Fax: 707-467-5223
- Phone:
- Fax:
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:
ARBY
NAHAPETIAN
Title or Position: PRESIDENT
Credential:
Phone: 818-409-8000