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CHOLLA MEDICAL GROUP INC NPI 1154443422


NPI Information

NPI: 1154443422
Provider Name: CHOLLA MEDICAL GROUP, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 03D1067200

Address:
10631 S 51ST ST STE 8
PHOENIX, AZ
ZIP 85044
Phone: (480) 298-9951
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CHOLLA MEDICAL GROUP, INC is a family medicine in Phoenix, 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. CHOLLA MEDICAL GROUP, INC NPI is 1154443422. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10631 S 51ST ST STE 8
PHOENIX, AZ
ZIP 85044-225
Phone: (480) 298-9951
Fax: (866) 246-5494

The provider's authorized official is Ralph Flores .
The authorized official title is Ceo and has the following contact phone number (480) 298-9951.

The CLIA number assigned to this NPI record is 03D1067200 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2007 and was last updated on 4/27/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine19237ARIZONAYes

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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