Provider Demographics
NPI:1801692041
Name:WELLBRIDGE HEALTH CENTER
Entity type:Organization
Organization Name:WELLBRIDGE HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:HAPETNAK
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAYBEKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-740-4094
Mailing Address - Street 1:7412 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2722
Mailing Address - Country:US
Mailing Address - Phone:323-740-4094
Mailing Address - Fax:
Practice Address - Street 1:7412 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2722
Practice Address - Country:US
Practice Address - Phone:323-740-4094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty