Provider Demographics
NPI:1144097528
Name:ARROWHEAD HEALTHCARE ADVISORS, LLC
Entity type:Organization
Organization Name:ARROWHEAD HEALTHCARE ADVISORS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GENARO
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAJEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-805-6580
Mailing Address - Street 1:967 KENDALL DR
Mailing Address - Street 2:SUITE A #285
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1013 SUNBROOK DR
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92407-5357
Practice Address - Country:US
Practice Address - Phone:951-805-6580
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251X00000XAgenciesSupports Brokerage