Provider Demographics
NPI:1417182213
Name:ATLAS HEALTH GROUP INC
Entity Type:Organization
Organization Name:ATLAS HEALTH GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARPELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-270-1667
Mailing Address - Street 1:24307 MAGIC MOUNTAIN PKWY
Mailing Address - Street 2:SUITE 12
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-3402
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24307 MAGIC MOUNTAIN PKWY
Practice Address - Street 2:SUITE 12
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-3402
Practice Address - Country:US
Practice Address - Phone:818-270-1667
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-22
Last Update Date:2009-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA23861207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABX030AMedicare PIN