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MED-PEDS OF YUMA PLLC NPI 1063786812


NPI Information

NPI: 1063786812
Provider Name: MED-PEDS OF YUMA, PLLC

Doing Business As: TUSCANY CHILDREN CLINIC

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 03D2046776

Address:
2435 S AVENUE A STE A
YUMA, AZ
ZIP 85364
Phone: (928) 366-1026
Get Directions

MED-PEDS OF YUMA, PLLC is a pediatrics in Yuma, AZ. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MED-PEDS OF YUMA, PLLC NPI is 1063786812. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tuscany Children Clinic.

The provider's business location address is:

2435 S AVENUE A STE A
YUMA, AZ
ZIP 85364-176
Phone: (928) 366-1026
Fax: (928) 366-1028

The provider's authorized official is Fahd Al-alou .
The authorized official title is President and has the following contact phone number (928) 366-1026.

The CLIA number assigned to this NPI record is 03D2046776 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2012 and was last updated on 8/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine45521ARIZONANo
2208000000XPediatrics45521ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11679517858OTHERMARIANA ISLANDSINDIVIDUAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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