Provider Demographics
NPI:1750267688
Name:NOVAHAL HEALTH
Entity type:Organization
Organization Name:NOVAHAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-676-1281
Mailing Address - Street 1:PO BOX 786
Mailing Address - Street 2:
Mailing Address - City:BETHEL ISLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94511-0786
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6444 BETHEL ISLAND RD
Practice Address - Street 2:
Practice Address - City:BETHEL ISLAND
Practice Address - State:CA
Practice Address - Zip Code:94511-9000
Practice Address - Country:US
Practice Address - Phone:707-567-1674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty