NPI 1568913804 · live from the CMS NPI Registry
Adventist Health Physicians Network
Ophthalmology in Ukiah, CA. National Provider Identifier 1568913804, active.
NPI record
| NPI | 1568913804 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1165 S Dora St, Suite B-1, Ukiah, CA 95482 |
| Practice phone | 707-462-0581 |
| Mailing address | Po Box 398794, San Francisco, CA 94139 |
| Enumerated | October 21, 2016 |
| Last updated | January 9, 2018 |
| Authorized official | Adrian Serna, C.F.O. |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | — (CA) |
| Ophthalmology primary | 207W00000X | — (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.