MEDICARE: ADVENTIST HEALTH PHYSICIANS NETWORK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician
2	208100000X	Physical Medicine & Rehabilitation Physician

General Provider Information

NPI Number	:	1831957125
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVENTIST HEALTH PHYSICIANS NETWORK

Provider Business Mailing Address
First Line	:	PO BOX 888794
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90088-8794
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 CASA ST STE 320
Second Line	:
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93405-1894
Country	:	US
Telephone Number	:	805-316-3733
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ARBY NAHAPETIAN
Credential	:
Telephone Number	:	818-409-8000

Provider Enumeration Date	:	03/11/2024
Last Update Date	:	09/22/2025

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Directions to “ADVENTIST HEALTH PHYSICIANS NETWORK ” Practice Location

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