Provider Demographics
NPI:1851697668
Name:ALTERNATIVE HEALING NETWORK, INC.
Entity Type:Organization
Organization Name:ALTERNATIVE HEALING NETWORK, INC.
Other - Org Name:ADAMS AVENUE INTEGRATIVE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FOUNDER / EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:619-546-4806
Mailing Address - Street 1:PO BOX 16437
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92176-6437
Mailing Address - Country:US
Mailing Address - Phone:619-546-4806
Mailing Address - Fax:619-546-5326
Practice Address - Street 1:3239 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92116-1645
Practice Address - Country:US
Practice Address - Phone:619-546-4806
Practice Address - Fax:619-546-5326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health