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NPI 1447048343

NPI 1447048343 : ADVENTIST HEALTH PHYSICIANS NETWORK : SAN LUIS OBISPO, CA

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General NPI Number Information
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    NPI Number           |    1447048343
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADVENTIST HEALTH PHYSICIANS NETWORK 
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Dates
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    Enumeration Date     |    04/29/2025
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    Last Update Date     |    09/22/2025
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Provider Practice Location Address
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    Address Line         |    77 CASA ST STE 102 
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    City                 |    SAN LUIS OBISPO
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    State                |    CA
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    Zip                  |    93405-5804
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    Country              |    US
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    Telephone            |    805-546-7733
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 888794 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90088-8794
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     ARBY  NAHAPETIAN 
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    Credential           |    
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    Telephone            |    818-409-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2085R0202X
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    Taxonomy Name        |    Diagnostic Radiology Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    2085B0100X
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    Taxonomy Name        |    Body Imaging Physician
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    License Number       |    
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    License Number State |    
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