GOODYEAR MEDICAL GROUP LLC NPI 1376199018

NPI Information

GOODYEAR MEDICAL GROUP LLC is a general practice in Goodyear, AZ. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee GOODYEAR MEDICAL GROUP LLC NPI is 1376199018. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3301 N LITCHFIELD RD STE 200
GOODYEAR, AZ
ZIP 85395-197
Phone: (623) 935-2929

The provider's authorized official is Radman Rahiminejad .
The authorized official title is Owner and has the following contact phone number (480) 926-7800.

The CLIA number assigned to this NPI record is 03D2171690 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/16/2019 and was last updated on 1/5/2023.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.