Organization Name: | ADVENTIST HEALTH PHYSICIANS NETWORK |
NPI Number: | 1396043683 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEFFREY CONKLIN (PRESIDENT) |
Mailing Address: | 2701 Chester Ave Suite 101 Bakersfield |
State: | CA US |
Postal Code: | 933012016 |
Phone Number: | 6617169443 |
Fax Number: | 6617162613 |
NPI Enumeration Date: | 03/10/2011 |
NPI Last Update Date: | 06/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |