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CLINICA LATINA HEALTHCARE GROUP LLC NPI 1356447387


NPI Information

NPI: 1356447387
Provider Name: CLINICA LATINA HEALTHCARE GROUP LLC
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 03D0959990

Address:
1108 W INDIAN SCHOOL RD
SUITE A
PHOENIX, AZ
ZIP 85013
Phone: (602) 415-1900
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CLINICA LATINA HEALTHCARE GROUP LLC is an obstetrics gynecology in Phoenix, AZ. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. CLINICA LATINA HEALTHCARE GROUP LLC NPI is 1356447387. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1108 W INDIAN SCHOOL RD
SUITE A
PHOENIX, AZ
ZIP 85013-107
Phone: (602) 415-1900

The provider's authorized official is Ronald A Yunis .
The authorized official title is President and has the following contact phone number (602) 415-1900.

The CLIA number assigned to this NPI record is 03D0959990 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/16/2006 and was last updated on 2/20/2008.


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
1207V00000XObstetrics & Gynecology25201ARIZONAYes

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
1Z69443MEDICARE PIN

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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