1285971820 NPI number — ARCH HEALTH PARTNERS

Table of content: (NPI 1285971820)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285971820 NPI number — ARCH HEALTH PARTNERS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARCH HEALTH PARTNERS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ARCH HEALTH PARTNERS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285971820
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/24/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 51739
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90051-6039
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
858-613-8900
Provider Business Mailing Address Fax Number:
858-618-1523

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
488 E VALLEY PKWY
Provider Second Line Business Practice Location Address:
SUITE 211
Provider Business Practice Location Address City Name:
ESCONDIDO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92025-3363
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-294-2266
Provider Business Practice Location Address Fax Number:
760-294-2183
Provider Enumeration Date:
01/15/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
STUART
Authorized Official First Name:
GRAHAM
Authorized Official Middle Name:
Authorized Official Title or Position:
BOARD PRESIDENT
Authorized Official Telephone Number:
858-675-3100

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)