Provider Demographics
NPI:1376759225
Name:ARTA HEALTH NETWORK, P.C.
Entity Type:Organization
Organization Name:ARTA HEALTH NETWORK, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:G
Authorized Official - Last Name:LIETHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-205-6262
Mailing Address - Street 1:3333 MICHELSON DR STE 735
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-7679
Mailing Address - Country:US
Mailing Address - Phone:949-260-6503
Mailing Address - Fax:949-833-3736
Practice Address - Street 1:3333 MICHELSON DR STE 735
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-7679
Practice Address - Country:US
Practice Address - Phone:949-260-6507
Practice Address - Fax:949-833-3736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization