Basic Information
Provider Information
NPI: 1669880787
EntityType: 2
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OrganizationName: ADVENTIST HEALTH PHYSICIANS NETWORK
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Mailing Information
Address1: 1530 E CHEVY CHASE DR STE 110
Address2:  
City: GLENDALE
State: CA
PostalCode: 912064139
CountryCode: US
TelephoneNumber: 8182655411
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Practice Location
Address1: 1700 E CESAR E CHAVEZ AVE
Address2: #3000
City: LOS ANGELES
State: CA
PostalCode: 900332424
CountryCode: US
TelephoneNumber: 3239871200
FaxNumber: 3239871212
Other Information
ProviderEnumerationDate: 08/01/2014
LastUpdateDate: 11/27/2017
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AuthorizedOfficialLastName: SERNA
AuthorizedOfficialFirstName: ADRIAN
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AuthorizedOfficialTitleorPosition: CFO
AuthorizedOfficialTelephone: 9168651865
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IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0201X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPediatricsPediatric Allergy/Immunology
2080P0208X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
2080P0205X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology

No ID Information.


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