BETHANY MEDICAL L.L.C NPI 1053433912

NPI Information

  • NPI: 1053433912
  • Provider Name: BETHANY MEDICAL L.L.C
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 5832 W. SAN MIGUEL AVE #6
    GLENDAL, AZ
    ZIP 85301
  • Phone: (623) 939-6224

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NPI Details

BETHANY MEDICAL L.L.C is a family medicine in Glendal, AZ. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BETHANY MEDICAL L.L.C NPI is 1053433912. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5832 W. SAN MIGUEL AVE #6
GLENDAL, AZ
ZIP 85301
Phone: (623) 939-6224
Fax: (623) 939-6224

The provider's authorized official is Valentine E Okon .
The authorized official title is Administrator and has the following contact phone number (623) 847-9800.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 7/31/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine15873ARIZONAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1253758MEDICARE UPINARIZONA

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: 11/21/2025

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